Individual provider · Type 1 NPI

Andrew Thomas Sullivan

Student in an Organized Health Care Education/Training Program · Clover, SC

NPI number 1932628344 Active

Practice location

106 Mccall Street
Clover, SC 29710

Mailing address

106 Mccall St
Clover, SC 29710-1349

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932628344

Andrew Thomas Sullivan's National Provider Identifier is 1932628344, issued on Sep 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clover, SC. The record was last updated on Jul 21, 2022.