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1326023078
MICHAEL JUDE SULLIVAN
KINGSPORT, TN
NPI
1326023078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: TN 15419)
Enumeration Date
2005-12-14
Last Update Date
2023-11-28
Business Address
Dr. MICHAEL JUDE SULLIVAN M.D.
2204 PAVILION DR STE 108
KINGSPORT, TN 37660-4651
Phone number: 423-392-6100
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Mailing Address
Dr. MICHAEL JUDE SULLIVAN M.D.
2204 PAVILION DR STE 108
KINGSPORT, TN 37660-4651
Phone number: 423-392-6100
Copy
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