Individual
RICHARD HENRY SULLIVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3400 OLD MILTON PKWY STE 190, ALPHARETTA, GA 30005-3707
(770) 663-1100
(770) 663-1101
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/14/2018
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