Individual
CORINNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 274-6515
(336) 832-8717
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
2004-00756
NC
208M00000X
Hospitalist Physician
Primary
A77304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137FF
BCBS OF NC
NC
01
—
804918
PARTNERS MEDICARE
NC
05
—
89137FF
—
NC
01
—
D7587
MEDCOST
NC
Enumeration date
09/26/2006
Last updated
08/15/2022
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