Karen E Sullivan, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Covington, GA
NPI 1063508653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063508653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 046259 (GA)
- Practice address
- 5126 Hospital Drive
Covington, GA 30014 - Phone
- (706) 754-9848
- Fax
- (706) 839-1033
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046259 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B. Timothy Schaeffer MD PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 046259 | GA | Yes |
Addresses
Primary practice location
5126 Hospital Drive
Covington, GA 30014
Mailing address
PO Box 756
Baldwin, GA 30511
Phone (706) 754-9848
Other names
- Karen E Sullivan
Other providers in Covington, GA
- Rebecca L Strickland
- Veronica Khadijah Stroud-McCottrie
- Derek M Studer
- Shelly Studer
- Avinash Sukhu
- Summerfield Personal Care Home LLC
- Suncrest Home Health of Georgia, Inc.
- Sunshine Psychiatric Consultant Care
- Barbara Lee Anne Susin
- Johnny M Sutton
All providers in Covington, GA · Anatomic Pathology & Clinical Pathology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.