Individual
WILLIAM C. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, DBA INPATIENT PHYSICIANS OF FORSYTH, WINSTON SALEM, NC 27103-3013
(336) 718-7080
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-8487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95-00738
NC
208M00000X
Hospitalist Physician
Primary
9500738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8980881
—
NC
Enumeration date
03/24/2006
Last updated
10/25/2020
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