Individual
SAVANNAH S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4776
(706) 879-5841
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703-7013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN186305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142181B
—
GA
Enumeration date
08/05/2013
Last updated
01/03/2019
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