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1184469223
BROCK ALLEN SULLIVAN
CHARLESTON, SC
NPI
1184469223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC LL92792)
Enumeration Date
2024-06-29
Last Update Date
2024-06-29
Business Address
BROCK ALLEN SULLIVAN MD
67 PRESIDENT ST
CHARLESTON, SC 29425-5712
Phone number: 873-792-9888
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Mailing Address
BROCK ALLEN SULLIVAN MD
67 PRESIDENT ST
CHARLESTON, SC 29425-5712
Phone number: 873-792-9888
Copy
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