Daniel Philip Sullivan, MD
Student in an Organized Health Care Education/Training Program in Rome, GA. Individual provider (NPI-1).
NPI number1386585735
StatusActive
Last updated in NPPESApr 1, 2026
Details
- NPI
- 1386585735
- Entity type
- Individual (NPI-1)
- Name
- Daniel Philip Sullivan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2026
- Certification date
- Apr 1, 2026
- Last updated
- Apr 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
501 Redmond Rd NwRome, GA 30165-1415
Phone 706-802-3063 · Fax 844-863-6774
Mailing address
501 Redmond Rd NwRome, GA 30165-1415
Phone 706-802-3063 · Fax 844-863-6774
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