Individual
DR. THOMAS JAMES SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 261-7474
(864) 261-8580
Mailing address
100 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 261-7474
(864) 261-8580
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612257D
—
GA
05
—
148799
—
SC
Enumeration date
05/26/2005
Last updated
10/19/2007
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