Mr. Brian Keith Sullivan
Massage Therapist
326 Starbridge Rd
Murrayville
, Georgia 30564-2817
Mr. Brian Keith Sullivan
Massage Therapist
326 Starbridge Rd
Murrayville
, Georgia 30564-2817
(706) 867-7969
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. Brian Keith Sullivan
- 396 Starbridge Rd
- Murrayville, GA
- Zip : 30564-2817
- Fax : (706) 867-7969
- Phone : (706) 265-9530
Second Address
- Mr. Brian Keith Sullivan
- 326 Starbridge Rd
- Murrayville, GA
- Zip : 30564-2817
- Fax : (706) 867-7969
- Phone : (706) 265-9530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT005008 | GA |
National Provider Identifier
| NPI | 1003172438 |
|---|---|
| Provider Name | Mr. Brian Keith Sullivan |
| First Address | Murrayville, GA 30564-2817 |
| Second Address | Murrayville, GA 30564-2817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.