Individual provider · Type 1 NPI

Lee Richard Sullivan, AGNPC-AG

Acute Care Nurse Practitioner · Athens, GA

NPI number 1326575952 Active

Practice location

1765 Old West Broad St
Athens, GA 30606-2853

Fax (706) 546-8792

Mailing address

1765 Old West Broad St Bldg 2-200
Athens, GA 30606-2887

Other practice locations

  • 125 King Ave, Athens, GA 30606-6734 · (706) 549-1663
  • 33 Chestnut St, Elberton, GA 30635-1833 · (706) 549-1663
  • 1774 Old West Broad St, Athens, GA 30606-2865 · (706) 549-1663

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN213335 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1326575952

Lee Richard Sullivan, AGNPC-AG's National Provider Identifier is 1326575952, issued on May 14, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Athens, GA. The record was last updated on Mar 11, 2024.