Sullivan, Robert Terrence

Sullivan, Robert Terrence is an individual health care provider with primary practice located at 300 Callen Blvd Ste 330 , Moncks Corner SC 29461-8460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sullivan, Robert Terrence can be contacted via phone (843) 763-2857.

Contact Information

Primary practice address
300 Callen Blvd Ste 330 Moncks Corner SC 29461-8460
Phone: (843) 763-2857
Fax: (843) 606-8053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52239 South Carolina

Profile Details

NPI number 1124198734
LBN Legal business name Sullivan, Robert Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 13th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124198734 NPPES
South Carolina MEDICAID NC3045

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