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Dr. Joshua Lee Sullivan, MD
Student in an Organized Health Care Education/Training Program in Fort Bragg, North Carolina
NPI 1063005163

Joshua Lee Sullivan is a Student in an Organized Health Care Education/Training Program based in Fort Liberty, NC. Joshua Lee Sullivan practices in Fort Bragg, NC and has the professional credentials of MD. The NPI Number for Joshua Lee Sullivan is 1063005163 and holds a License No. (North Carolina).

The current practice location address for Joshua Lee Sullivan is 2817 Rock Merritt Ave, Fort Bragg, NC and can be reached out via phone at 910-907-7405.

Location: 2817 Rock Merritt Ave, Fort Bragg, NC, 28310-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063005163
Provider Name
Joshua Lee Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2817 Rock Merritt Ave, Fort Bragg, NC, 28310-0001
Phone Number
910-907-7405
Fax Number
Provider Enumeration Date
02/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2817 Rock Merritt Ave
City
Fort Bragg
State
North Carolina
Zip
28310-0001
Phone Number
910-907-7405
Fax Number
person
Provider Business Mailing Address Details
Address
2817 Rock Merritt Ave
City
Fort Bragg
State
North Carolina
Zip
28310-0001
Phone Number
910-907-7405
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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