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1326575952
LEE RICHARD SULLIVAN
ATHENS, GA
NPI
1326575952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN213335)
Enumeration Date
2017-05-14
Last Update Date
2024-03-11
Business Address
Dr. LEE RICHARD SULLIVAN AGNPC-AG
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
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Mailing Address
Dr. LEE RICHARD SULLIVAN AGNPC-AG
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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