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Individual

DR. THOMAS PATRICK SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036137338
IL
2085R0202X
Diagnostic Radiology Physician
11670A
WY
2085R0202X
Diagnostic Radiology Physician
31062
NE
2085R0202X
Diagnostic Radiology Physician
DR.0060901
CO
2085R0203X
Therapeutic Radiology Physician
2022-00424
NC
2085R0204X
Vascular & Interventional Radiology Physician
036137338
IL

Other

Enumeration date
04/10/2012
Last updated
01/13/2025
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