Individual
MS. CATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, MPH
Contact information
Practice address
600 MOYE BLVD, FAMILY PRACTICE CENTER, GREENVILLE, NC 27834-4300
(252) 744-4611
(252) 744-2056
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000371
RAILROAD MEDICARE
NC
Enumeration date
02/16/2006
Last updated
08/23/2007
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