LEE RICHARD SULLIVAN

ATHENS, GA
NPI1326575952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN213335)
Enumeration Date2017-05-14
Last Update Date2024-03-11
Business Address
Dr. LEE RICHARD SULLIVAN AGNPC-AG
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
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