Individual
HAROLD CLIFFORD SULLIVAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ROOM H183, ATLANTA, GA 30322-1059
(404) 712-5947
Mailing address
1364 CLIFTON RD NE, ROOM H183, ATLANTA, GA 30322-1059
(404) 712-5947
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
72929
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
72929
GA
Other
Enumeration date
04/07/2011
Last updated
08/22/2017
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