SANDRA SULLIVAN


Address: 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227
Phone: 7708139775

SANDRA SULLIVAN (NPI# 1588963490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588963490
Entity Type Individual
Full Name SANDRA SULLIVAN
Credential PA-C
Practice Address 3497 Duluth Park Ln
Suite 200
Duluth
GA 30096-3227
Practice Telephone 7708139775
Practice Fax Number 7708138976
Mailing Telephone 7708139775
Mailing Fax Number 7708138976
Enumeration Date 2011-03-17
Last Update Date 2011-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
003288 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SANDRA SULLIVAN

NPI Name Taxonomy Address Enumeration
1457468241 Sandra Jane Sullivan Chiropractor 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-6364 2006-08-25
1073851663 Sandra Judd Sullivan Psychologist 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 2013-01-16
1366744286 Sandra Sullivan Registered Nurse 50 Sanatorium Rd, Bldg F, Pomona, NY 10970-3555 2010-11-29
1639487952 Sandra Eberle Sullivan Nurse Practitioner 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 2010-09-21
1154541639 Sandra Sullivan Registered Nurse 1207 E Herndon Ave, Fresno, CA 93720-3235 2007-04-26
1225253909 Sandra Kay Sullivan Counselor 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 2007-04-16
1700913035 Sandra J Sullivan Dietitian, Registered 900 Main St, Oakville, CT 06779-1999 2007-02-27
1003967407 Sandra J Sullivan Physician Assistant 41 Mall Rd, Burlington, MA 01805-0001 2007-01-15
1386733574 Sandra K Sullivan Nurse Practitioner 1613 N Mills Ave, Orlando, FL 32803-1849 2006-10-12
1770524829 Sandra E Sullivan Pediatrics 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-06-09

Office Location

Street Address 3497 DULUTH PARK LN
SUITE 200
City DULUTH
State GA
Zip Code 30096-3227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548319197 Bright Horizon Imaging Center Clinic/Center 3497 Duluth Park Ln, Duluth, GA 30096-3227 2007-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336615921 Katelyn M Walsh Physician Assistant 400 E Third Street, Duluth, MN 55805-1951 2018-10-22
1164977468 Chelsea Ruda Physician Assistant 1012 E 2nd St, Duluth, MN 55805 2016-08-17
1083023733 Jillian Reed Physician Assistant 407 E 3rd St, Duluth, MN 55805-1950 2014-08-07
1538402763 Larissa Pirie Messenger Physician Assistant 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 2013-04-06
1790031011 Arlene L Salmon Physician Assistant 4855 River Green Pkwy, Suite 700, Duluth, GA 30096-8336 2012-07-24
1376848549 Nathina Scarlett Melton Physician Assistant 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 2011-01-20
1568776409 Pamela J Hermes Physician Assistant 407 East Third Street, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 2010-08-03
1952531444 Thomas John Kogowski Physician Assistant 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 2009-07-20
1023276334 Donna L Crawford Physician Assistant 3855 Pleasant Hill Rd, Suite 420, Duluth, GA 30096-1407 2008-05-23
1972638757 Faith Marie Nyberg Physician Assistant 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 2007-02-22
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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