Thomas Dennis Sullivan, M.D.
Pediatrics in Alpharetta, GA. Individual provider (NPI-1).
NPI number1104872001
StatusActive
Last updated in NPPESDec 10, 2013
Details
- NPI
- 1104872001
- Entity type
- Individual (NPI-1)
- Name
- Thomas Dennis Sullivan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Dec 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 15512 | GA | Yes |
Practice location
3795 Mansell RdAlpharetta, GA 30022-8247
Phone 404-785-8540 · Fax 404-785-8574
Mailing address
5318 Trowbridge DrAtlanta, GA 30338-3623
Phone 770-671-8349
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