NPI 1184339699
Shane Sullivan
Practice location
- Address
- 4221 Garrett Rd, Durham, NC 27707-3467
- Phone
- (919) 937-9607
- Mailing address
- 1611 Chesborough Rd, Winston Salem, NC 27127-7317
Registered specialties
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1184339699
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jan 2023
- Record last updated
- 18 Jan 2023
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.