MARY ELLEN SULLIVAN

COLUMBIA, SC
NPI1861676942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  3428)
Enumeration Date2007-12-25
Last Update Date2022-11-09
Business Address
Mrs. MARY ELLEN SULLIVAN GNP-BC
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
Mrs. MARY ELLEN SULLIVAN GNP-BC
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909