SHANE SULLIVAN

DURHAM, NC
NPI1184339699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NC  P21873)
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
SHANE SULLIVAN
4221 GARRETT RD
DURHAM, NC 27707-3467
Phone number: 919-937-9607
Mailing Address
SHANE SULLIVAN
1611 CHESBOROUGH RD
WINSTON SALEM, NC 27127-7317
Phone number: 336-409-6320
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