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Individual

DR. RICHARD J SULLIVAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(478) 542-7830
(478) 542-7940
Mailing address
214 WESTBURY CT, WARNER ROBINS, GA 31088-2621
(478) 953-9935
(727) 507-3618

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
037395
GA

Other

Enumeration date
06/05/2006
Last updated
01/13/2023
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