Individual
STEVEN GLEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT, RPSGT
Contact information
Practice address
803 HOPE RD, BRANCHVILLE, SC 29432
(803) 331-5772
Mailing address
803 HOPE RD, BRANCHVILLE, SC 29432
(803) 331-5772
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
3273
SC
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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