| Doctor Name: | DR. DAVID M SULLIVAN |
| NPI Number: | 1003840497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9701609 |
| Business Practice Address: | 1000 Blythe Blvd Charlotte, NC - 282035812 |
| Business Phone Number: | 7043552171 |
| Business Fax Number: | 7043555736 |
| Mailing Address: | Po Box 601372, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601372 |
| Phone Number: | 7043552171 |
| Fax Number: | 7043555736 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | 9701609 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |