JERRY SULLIVAN

TIFTON, GA
NPI1629062724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  004285)
Enumeration Date2005-09-02
Last Update Date2021-04-06
Business Address
JERRY SULLIVAN P.A.
2225 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-391-4100
Mailing Address
JERRY SULLIVAN P.A.
907 18TH ST E STE 400
TIFTON, GA 31794-3684
Phone number: 229-391-4100
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