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Individual

MR. JAMES MADISON SULLENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
101 HOSPITAL DRIVE, ST LUKES HOSPITAL, COLUMBUS, NC 28722-6418
(828) 894-3311
(828) 894-0538
Mailing address
142 PINEHURST DRIVE, HENDERSONVILLE, NC 28792-2442
(828) 692-2717

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1329
NC

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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