Sullivan, Troy

Sullivan, Troy is an individual health care provider with primary practice located at 125 W Gibson St , Hartwell GA 30643-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Troy can be contacted via phone (706) 856-6939.

Contact Information

Primary practice address
125 W Gibson St Hartwell GA 30643-1848
Phone: (706) 856-6939
Fax: (706) 856-6199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 045984 Georgia

Profile Details

NPI number 1396790614
LBN Legal business name Sullivan, Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1396790614 NPPES
Other 045984 GEORGIA MEDICAID
Other G45984 GEORGIA MEDICAID
MEDICAID GPA799 GEORGIA MEDICAID

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