Beth Ann Sullivan in Lawrenceville - Family Medicine
Beth Ann Sullivan - NPI 1669476388
Beth Ann Sullivan is a Family Medicine in Lawrenceville, Georgia. Beth Ann Sullivan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beth Ann Sullivan is 1669476388. The last update date is 2014-03-05.
Beth Ann Sullivan's current location address is 1960 Riverside Pkwy, Lawrenceville, Georgia. You can contact this provider via phone number 6784072222. The mailing address for Beth Ann Sullivan is 1960 Riverside Pkwy, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Ann Sullivan |
|---|---|
| Address | 1960 Riverside Pkwy, Lawrenceville, Georgia |
| Phone Number | 6784072222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1669476388 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2014-03-05 |
Provider Mailing Address Detail
| Address | 1960 Riverside Pkwy |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 3004359450 |
| Phone Number | 6784072222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 49106 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7393382 | GA | AETNA PROVIDER ID | |
| 10041812 | GA | -- | |
| 54305 | GA | SOUTHCARE ID | |
| 000888698D | GA | -- | |
| 327120 | GA | -- | |
| 85002412G | GA | -- | |
| 903825 | GA | BCBSGA PROVIDER ID |
Post Comment/ Review Below
Could you provide the complete physical address where Beth Ann Sullivan is located?
The Beth Ann Sullivan is situated at the following address: 1960 Riverside Pkwy, Lawrenceville, GA, 3004359450.
Could you kindly provide the complete physical address where Beth Ann Sullivan's facilities are geographically located?
The facilities of Beth Ann Sullivan are physically situated at the following location: 1960 Riverside Pkwy, Lawrenceville, GA, 3004359450.
On what date did Beth Ann Sullivan receive its 1669476388 assignment from the Centers for Medicare & Medicaid Services?
The Beth Ann Sullivan was assigned its 1669476388 on 2005-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1669476388 to Beth Ann Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1669476388 to Beth Ann Sullivan on 2005-06-09.
When was the information related to Beth Ann Sullivan most recently updated or refreshed?
The details pertaining to the Beth Ann Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-05.