person
Scott Keith Sullivan JR., MD
Plastic and Reconstructive Surgery Physician in New Orleans, Louisiana
NPI 1154344000

Scott Keith Sullivan JR. is a Plastic and Reconstructive Surgery Physician based in Metairie, LA and is specialized in Plastic and Reconstructive Surgery. Scott Keith Sullivan JR. practices in New Orleans, LA and has the professional credentials of MD. The NPI Number for Scott Keith Sullivan JR. is 1154344000 and holds a License No. MD.021287 (Louisiana).

The current practice location address for Scott Keith Sullivan JR. is 1717 Saint Charles Ave, New Orleans, LA and can be reached out via phone at 504-899-2800.

Location: 1717 Saint Charles Ave, New Orleans, LA, 70011-8664
person
Provider Profile Details
NPI Number
1154344000
Provider Name
Scott Keith Sullivan JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1717 Saint Charles Ave, New Orleans, LA, 70011-8664
Phone Number
504-899-2800
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
192322 05 LA
institution
Provider Business Practice Location Address Details
Address
1717 Saint Charles Ave
City
State
Zip
70130-5223
Phone Number
504-899-2800
Fax Number
person
Provider Business Mailing Address Details
Address
1717 Saint Charles Ave
City
State
Zip
70130-5223
Phone Number
504-899-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD.021287 (Louisiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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