person
Miss Thea Delora Sullivan, RN
Ambulatory Care Registered Nurse in Marietta, Georgia
NPI 1356584379

Thea Delora Sullivan is an Ambulatory Care Registered Nurse based in Marietta, GA and is specialized in Ambulatory Care. Thea Delora Sullivan practices in Marietta, GA and has the professional credentials of RN. The NPI Number for Thea Delora Sullivan is 1356584379 and holds a License No. RN196107 (Georgia).

The current practice location address for Thea Delora Sullivan is 3628 River Heights Xing Se, Marietta, GA and can be reached out via phone at 770-272-0716.

Location: 3628 River Heights Xing Se, Marietta, GA, 30067-4870
person
Provider Profile Details
NPI Number
1356584379
Provider Name
Thea Delora Sullivan
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
3628 River Heights Xing Se, Marietta, GA, 30067-4870
Phone Number
770-272-0716
Fax Number
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3628 River Heights Xing Se
City
State
Zip
30067-4870
Phone Number
770-272-0716
Fax Number
person
Provider Business Mailing Address Details
Address
3628 River Heights Xing Se
City
State
Zip
30067-4870
Phone Number
770-272-0716
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
RN196107 (Georgia)
Definition
Definition to come...
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