Individual
BRIAN DAVID SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 324-2800
(828) 291-9160
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
92566
GA
Other
Enumeration date
03/22/2016
Last updated
08/03/2023
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