Miss Thea Delora Sullivan, RN - Registered Nurse in Marietta, GA

Miss Thea Delora Sullivan, RN is a Registered Nurse - Ambulatory Care based in Marietta, Georgia. Miss Thea Delora Sullivan is licensed to practice in Georgia (license number RN196107) and her current practice location is 3628 River Heights Xing Se, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 272-0716.

NPI number for Miss Thea Delora Sullivan is 1356584379 and her current mailing address is 3628 River Heights Xing Se, Marietta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356584379.

Contact Information

Miss Thea Delora Sullivan, RN
3628 River Heights Xing Se,
Marietta, GA 30067-4870
(770) 272-0716
Not Available

Map and Direction




Provider's Profile

Full NameMiss Thea Delora Sullivan
GenderFemale
SpecialityRegistered Nurse - Ambulatory Care
Location3628 River Heights Xing Se, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356584379
  • Provider Enumeration Date: 04/07/2009
  • Last Update Date: 04/07/2009

Medical Identifiers

Medical identifiers for Miss Thea Delora Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356584379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP2201XRegistered Nurse - Ambulatory Care RN196107 (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. Miss Thea Delora 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 AddressPractice Location Address
Miss Thea Delora Sullivan, RN
3628 River Heights Xing Se,
Marietta, GA 30067-4870

Ph: (770) 272-0716
Miss Thea Delora Sullivan, RN
3628 River Heights Xing Se,
Marietta, GA 30067-4870

Ph: (770) 272-0716

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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