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Individual

DANIEL F SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9100 MEDCOM ST, NORTH CHARLESTON, SC 29406-9167
(843) 572-2663
Mailing address
9100 MEDCOM ST, NORTH CHARLESTON, SC 29406-9167

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5151014127
MI
207X00000X
Orthopaedic Surgery Physician
Primary
76201
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
94680
SC

Other

Enumeration date
07/03/2019
Last updated
07/31/2025
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