Individual
DR. ROBERT SHERWOOD SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
198 MORNING POINT DR, LENOIR CITY, TN 37772-6448
(865) 675-5490
(865) 338-5899
Mailing address
PO BOX 455, HARRIMAN, TN 37748-0455
(865) 988-8552
(865) 988-4488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094819
—
TN
01
—
4066102
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
06/03/2006
Last updated
03/08/2024
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