NPI 1215115969
Grant Joseph Sullivan, DO
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
Internal Medicine Physician
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.