| Sullivan Family Practice, Inc. | |
|
3511 Old Clarksville Pike Joelton TN 37080-8892 | |
| (615) 299-5341 | |
| Not Available |
| Full Name | Sullivan Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3511 Old Clarksville Pike, Joelton, Tennessee |
| Authorized Official Name and Position | Kenneth W Sullivan (OWNER) |
| Authorized Official Contact | 6152995341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Family Practice, Inc. 3511 Old Clarksville Pike Joelton TN 37080-8892 Ph: (615) 299-5341 | Sullivan Family Practice, Inc. 3511 Old Clarksville Pike Joelton TN 37080-8892 Ph: (615) 299-5341 |
| NPI Number | 1679914683 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679914683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |