Organization
KEVIN L. SULLIVAN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L. SULLIVAN MD (MD)
(404) 377-9171
Entity
Organization
Contact information
Practice address
250 E PONCE DE LEON AVE, DECATUR, GA 30030-3440
(404) 377-9171
(404) 977-9172
Mailing address
40 VALLEY STREAM PKWY, STE 100, MALVERN, PA 19355-1407
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
10/20/2016
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