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Search › North Carolina › Sports Medicine (Physical Medicine & Rehabilitation) Physician

Shane Sullivan

NPI 1184339699 · on the registry since 2023 · sole proprietor

Practice

Address
4221 Garrett Rd
Durham, NC 27707
Phone
(919) 937-9607
Organisation at this address
Liberty Medical Specialties, Inc
Activedge Fitness And Sports Performance, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Sports Medicine (Physical Medicine & Rehabilitation) Physician
2081S0010X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina