Jeffery Sullivan's National Provider Identifier (NPI) Details
Jeffery Sullivan,
NPI: 1659803179
Enumeration Date: 2017-04-03
Last updated: 2017-04-03
Sole Proprietor: YES
Status: active
Postal Address: 124 MALLARD ST, GREENVILLE, SC
Phone: 864-241-1040
Primary Practice Address: 124 MALLARD ST, GREENVILLE, SC
Practice's phone: 864-241-1040