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1417956400
TIMOTHY JAMES SULLIVAN
KINGSPORT, TN
NPI
1417956400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN MD18502)
Enumeration Date
2005-07-20
Last Update Date
2009-01-13
Business Address
Dr. TIMOTHY JAMES SULLIVAN M.D.
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-587-5571
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Mailing Address
Dr. TIMOTHY JAMES SULLIVAN M.D.
1021 W OAKLAND AVE SUITE 207
JOHNSON CITY, TN 37604-2191
Phone number: 423-915-3104
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