Individual
MRS. MARY JANE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 BLASSINGAME RD, HEALTH SERVICES DEPT., GREENVILLE, SC 29605-3304
(864) 355-3100
Mailing address
100 BLASSINGAME RD, HEALTH SERVICES DEPT., GREENVILLE, SC 29605-3304
(864) 355-3100
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN39113
SC
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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