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1194160044
STEPHANIE TIV SULLIVAN
SNELLVILLE, GA
NPI
1194160044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-05-06
Last Update Date
2023-02-10
Business Address
STEPHANIE TIV SULLIVAN PA-C
3020 HIGHWAY 124
SNELLVILLE, GA 30039-4614
Phone number: 770-978-1331
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Mailing Address
STEPHANIE TIV SULLIVAN PA-C
3850 PLEASANT HILL RD
DULUTH, GA 30096-4807
Phone number: 404-452-1684
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