Colten Briar Sullivan, DPT | |
1019 Broad St, Durham, NC 27705-4143 | |
(919) 797-9588 | |
Not Available |
Full Name | Colten Briar Sullivan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1019 Broad St, Durham, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306303458 | NPI | - | NPPES |
P18599 | Other | NC | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | P18599 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bull City Physical Therapy | 8022438563 | 6 |
Entity Name | Bull City Physical Therapy |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1235749060 PECOS PAC ID: 8022438563 Enrollment ID: O20201021002655 |
Mailing Address | Practice Location Address |
---|---|
Colten Briar Sullivan, DPT 1019 Broad St, Durham, NC 27705-4143 Ph: (919) 797-9588 | Colten Briar Sullivan, DPT 1019 Broad St, Durham, NC 27705-4143 Ph: (919) 797-9588 |
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