Sullivan, Thomas Dennis

Sullivan, Thomas Dennis is an individual health care provider with primary practice located at 3795 Mansell Rd , Alpharetta GA 30022-8247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sullivan, Thomas Dennis can be contacted via phone (404) 785-8540.

Contact Information

Primary practice address
3795 Mansell Rd Alpharetta GA 30022-8247
Fax: (404) 785-8574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15512 Georgia

Profile Details

NPI number 1104872001
LBN Legal business name Sullivan, Thomas Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 10th, 2013 - about 12 years 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 1104872001 NPPES
Georgia MEDICAID 000971132

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