Mr Brian Keith Sullivan, MT is a
Massage Therapist based in Murrayville, Georgia. Mr Brian Keith Sullivan is licensed to practice in Georgia (license number MT005008) and his current practice location is
326 Starbridge Rd, Murrayville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 265-9530.
NPI number for Mr Brian Keith Sullivan is 1003172438 and his current mailing address is 396 Starbridge Rd, Murrayville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003172438.
Healthcare Provider's Profile
Full Name | Mr Brian Keith Sullivan |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 326 Starbridge Rd, Murrayville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003172438
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 04/10/2012
Medical Identifiers
Medical identifiers for Mr Brian Keith Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003172438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT005008 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian Keith Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Brian Keith Sullivan, MT 396 Starbridge Rd, Murrayville, GA 30564-2817 Ph: (706) 265-9530 | Mr Brian Keith Sullivan, MT 326 Starbridge Rd, Murrayville, GA 30564-2817 Ph: (706) 265-9530 |
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