Individual
MR. ROBERT KELLY O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(919) 947-8252
(919) 705-5140
Mailing address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(919) 947-8252
(919) 705-5140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02243
NC
Other
Enumeration date
12/04/2006
Last updated
11/04/2020
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