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Gary B Sullivan, MD
Specialist in Statesboro, Georgia
NPI 1659334597

Gary B Sullivan is a Specialist based in Statesboro, GA. Gary B Sullivan practices in Statesboro, GA and has the professional credentials of MD. The NPI Number for Gary B Sullivan is 1659334597 and holds a License No. 30224 (Georgia).

The current practice location address for Gary B Sullivan is 1523 Fair Rd, Statesboro, GA and can be reached out via phone at 912-871-2000 and via fax at 912-871-2500.

Location: 1523 Fair Rd, Statesboro, GA, 30459-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659334597
Provider Name
Gary B Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1523 Fair Rd, Statesboro, GA, 30459-1958
Phone Number
912-871-2000
Fax Number
912-871-2500
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000353955C 05 GA
institution
Provider Business Practice Location Address Details
Address
1523 Fair Rd
City
Statesboro
State
Georgia
Zip
30458-6025
Phone Number
912-871-2000
Fax Number
912-871-2500
person
Provider Business Mailing Address Details
Address
1523 Fair Rd
City
Statesboro
State
Georgia
Zip
30458-6025
Phone Number
912-871-2000
Fax Number
912-871-2500
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
30224 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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