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Kevin L. Sullivan Md, Pc
Vascular & Interventional Radiology Physician in Decatur, Georgia
NPI 1750551834

Kevin L. Sullivan Md, Pc is a Vascular & Interventional Radiology Physician based in Malvern, GA and is specialized in Vascular & Interventional Radiology. Kevin L. Sullivan Md, Pc practices in Decatur, GA. The NPI Number for Kevin L. Sullivan Md, Pc is 1750551834 and holds a License No. (Georgia).

The current practice location address for Kevin L. Sullivan Md, Pc is 250 E Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 404-377-9171 and via fax at 404-977-9172. You can also correspond with Kevin L. Sullivan Md, Pc through the mailing address at 40 VALLEY STREAM PKWY, MALVERN, PA - 19355-1407 (mailing address contact number: 610-644-8900).

Location: 250 E Ponce De Leon Ave, Decatur, GA, 19355-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750551834
Provider Name
Kevin L. Sullivan Md, Pc
Credential
Provider Entity Type
Organization
Address
250 E Ponce De Leon Ave, Decatur, GA, 19355-1407
Phone Number
404-377-9171
Fax Number
404-977-9172
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 E Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3440
Phone Number
404-377-9171
Fax Number
404-977-9172
person
Provider Business Mailing Address Details
Address
250 E Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3440
Phone Number
404-377-9171
Fax Number
404-977-9172
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
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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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