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Contact Information

RICHARD H SULLIVAN III, PA
3400 OLD MILTON PKWY STE 190
ALPHARETTA, GA30005-3707
 Phone: 770-663-1100
 Fax: 770-663-1101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RICHARD H SULLIVAN III · (Male)

NPI # 1407272529
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/13/2014
Last updated 03/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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