BENJAMIN JACOB SULLIVAN

OAK RIDGE, TN
NPI1710684758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-02-09
Last Update Date2024-04-24
Business Address
BENJAMIN JACOB SULLIVAN PA-C
80 VERMONT AVE
OAK RIDGE, TN 37830-6474
Phone number: 865-482-4078
Mailing Address
BENJAMIN JACOB SULLIVAN PA-C
3398 LAKE BROOK BLVD
KNOXVILLE, TN 37909-3708
Phone number: 314-640-5425
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