Individual
DR. MICHAEL STANLEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2636 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 636-1919
(252) 636-2656
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 636-1919
(252) 636-2656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-01788
NC
208000000X
Pediatrics Physician
MD09704
RI
Other
Enumeration date
04/08/2006
Last updated
09/12/2022
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