person
Jerry Sullivan, PA
Medical Physician Assistant in Tifton, Georgia
NPI 1629062724

Jerry Sullivan is a Medical Physician Assistant based in Tifton, GA and is specialized in Medical. Jerry Sullivan practices in Tifton, GA and has the professional credentials of PA. The NPI Number for Jerry Sullivan is 1629062724 and holds a License No. 004285 (Georgia).

The current practice location address for Jerry Sullivan is 2225 Us Highway 41 N, Tifton, GA and can be reached out via phone at 229-391-4100.

Location: 2225 Us Highway 41 N, Tifton, GA, 31794-3684
person
Provider Profile Details
NPI Number
1629062724
Provider Name
Jerry Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2225 Us Highway 41 N, Tifton, GA, 31794-3684
Phone Number
229-391-4100
Fax Number
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2225 Us Highway 41 N
City
State
Zip
31794-2749
Phone Number
229-391-4100
Fax Number
person
Provider Business Mailing Address Details
Address
2225 Us Highway 41 N
City
State
Zip
31794-2749
Phone Number
229-391-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004285 (Georgia)
Definition
Definition to come...
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