Individual
DR. TIMOTHY JAMES SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 587-5571
(423) 587-5237
Mailing address
1021 W OAKLAND AVE, SUITE 207, JOHNSON CITY, TN 37604-2191
(423) 915-3104
(423) 952-3109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD18502
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882277
—
TN
Enumeration date
07/20/2005
Last updated
01/13/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us