Individual
MRS. SHEILA DIANE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
2954 DUREN CT, CHARLESTON, SC 29414-6733
(843) 766-9635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R57656
SC
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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