Individual
DR. BILLY LEE SULLIVAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 RANDOLPH RD, CHARLOTTE, NC 28207-1215
(704) 323-2225
(704) 323-3985
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2024-00808
NC
207X00000X
Orthopaedic Surgery Physician
T-3837
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/25/2025
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