Individual
JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 WAYNE MEMORIAL DR, MEDICAL EDUCATION, GOLDSBORO, NC 27534-9494
(919) 736-1110
(315) 624-6469
Mailing address
2700 WAYNE MEMORIAL DR, MEDICAL EDUCATION, GOLDSBORO, NC 27534-9494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-00449
NC
208M00000X
Hospitalist Physician
276980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03914734
—
NY
Enumeration date
04/29/2011
Last updated
03/13/2017
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