NPI 1063005163

Joshua Lee Sullivan, MD

Practitioner General Practice Physician Fort Bragg, NC

Practice location

Address: 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001
Phone: (910) 907-7405
Mailing address: 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 34933 (NE)

Other General Practice providers in North Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063005163
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2021
Record last updated: 15 Apr 2024

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.