NPI 1023307139

Justin L Sullivan, DO

Practitioner Internal Medicine Physician Hickory, NC

Practice location

Address: 810 Fairgrove Church Rd, Hickory, NC 28602-9617
Phone: (828) 326-3000

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 201301701 (NC)

Other Internal Medicine providers in North Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence PERMIT (AZ)

Other Student in an Organized Health Care Education/Training Program providers in North Carolina →

Registry record

NPI: 1023307139
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2011
Record last updated: 23 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.