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Individual

MS. ERIN ELIZABETH SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
1088C BAXTER ST, ATHENS, GA 30606-6316
(706) 549-7400
(706) 549-7399
Mailing address
195 MILES ST, ATHENS, GA 30601-1820
(706) 546-1333
(706) 546-5807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN072400
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00794384A
GA
Enumeration date
03/17/2009
Last updated
03/17/2018
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