Individual
DR. DONALD J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9639 FOX HILL CIR N, GERMANTOWN, TN 38139-6812
(901) 315-7932
Mailing address
PO BOX 1000 DEPT 0194, MEMPHIS, TN 38148-2246
(901) 315-7932
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
26078
TN
208M00000X
Hospitalist Physician
26078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00219690
RAIL ROAD MEDICARE PIN
TN
Enumeration date
05/04/2006
Last updated
04/09/2024
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