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Contact Information

SUSAN G OSULLIVAN, MD
4900 COX ROAD
SUITE 100
GLEN ALLEN, VA23060
 Phone: 804-346-1747
 Fax: 804-346-1704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SUSAN G OSULLIVAN · (Female)

NPI Number 1073593539
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101054411
  • VA Other C06703 MEDICARE GROUP
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
  • SOUTHEAST GEORGIA HEALTH SYSTEM- CAMDEN CAMPUS - (Acute Care)
    2000 DAN PROCTOR DRIVE
    SAINT MARYS, GA 31558
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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