Individual provider · Type 1 NPI

Katherine Moore Sullivan, RN BSN

Mental Health Clinic/Center (Including Community Mental Health Center) · Augusta, GA

NPI number 1396943650 Active

Practice location

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Fax (706) 432-3780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XRN119347 (GA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1396943650

Katherine Moore Sullivan, RN BSN's National Provider Identifier is 1396943650, issued on Jul 10, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Augusta, GA. The record was last updated on Jul 10, 2007.