Whalio Doctors

NPI 1215115969

Grant Joseph Sullivan, DO

Practitioner Hospitalist Physician West Columbia, SC

Practice location

Address
2720 Sunset Blvd, West Columbia, SC 29169
Phone
(803) 791-2480
Fax
(803) 935-4102
Mailing address
PO Box 6069, West Columbia, SC 29171-6069

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 36082 (SC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 36082 (SC)

Registry record

NPI
1215115969
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Feb 2008
Record last updated
11 Nov 2020

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.