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Mr. Jeremy Isaiah Sullivan, MD
Rheumatology Physician in Charlotte, North Carolina
NPI 1184151730

Jeremy Isaiah Sullivan is a Rheumatology Physician based in Charlotte, NC and is specialized in Rheumatology. Jeremy Isaiah Sullivan practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Jeremy Isaiah Sullivan is 1184151730 and holds a License No. 2023-01715 (North Carolina).

The current practice location address for Jeremy Isaiah Sullivan is 1918 Randolph Rd Ste 600, Charlotte, NC and can be reached out via phone at 704-342-0252 and via fax at 980-533-7801.

Location: 1918 Randolph Rd Ste 600, Charlotte, NC, 28207-1198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184151730
Provider Name
Jeremy Isaiah Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1918 Randolph Rd Ste 600, Charlotte, NC, 28207-1198
Phone Number
704-342-0252
Fax Number
980-533-7801
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7483509 01 UHC
20ZYO 01 NC BCBS
1184151730 05 NC
7960220 01 NC CIGNA
institution
Provider Business Practice Location Address Details
Address
1918 Randolph Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28207-1198
Phone Number
704-342-0252
Fax Number
980-533-7801
person
Provider Business Mailing Address Details
Address
1918 Randolph Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28207-1198
Phone Number
704-342-0252
Fax Number
980-533-7801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
2023-01715 (North Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
2023-01715 (North Carolina)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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