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Dr. Kevin L. Sullivan, MD
Vascular & Interventional Radiology Physician in Decatur, Georgia
NPI 1447276225

Kevin L. Sullivan is a Vascular & Interventional Radiology Physician based in Glen Rock, GA and is specialized in Vascular & Interventional Radiology. Kevin L. Sullivan practices in Decatur, GA and has the professional credentials of MD. The NPI Number for Kevin L. Sullivan is 1447276225 and holds a License No. MD027085E (Georgia).

The current practice location address for Kevin L. Sullivan is 250 Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 404-377-9171 and via fax at 404-377-9172. You can also correspond with Kevin L. Sullivan through the mailing address at 182 INDUSTRIAL ROAD, GLEN ROCK, PA - 17327-8626 (mailing address contact number: 717-235-9352).

Location: 250 Ponce De Leon Ave, Decatur, GA, 17327-8626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447276225
Provider Name
Kevin L. Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Ponce De Leon Ave, Decatur, GA, 17327-8626
Phone Number
404-377-9171
Fax Number
404-377-9172
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
409020411I 05 GA
institution
Provider Business Practice Location Address Details
Address
250 Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3406
Phone Number
404-377-9171
Fax Number
404-377-9172
person
Provider Business Mailing Address Details
Address
250 Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3406
Phone Number
404-377-9171
Fax Number
404-377-9172
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD027085E (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD027085E (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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