Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAXTON SULLIVAN
Active Sole ProprietorTHAXTON SULLIVAN is a Athletic Trainer healthcare provider located in HINESVILLE, Georgia. NPI 1942817895 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HINESVILLE, GA
Registration Details
- NPI Number
- 1942817895
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2020 (5.8476322299823 yrs)
- Last Updated
- Mar 22, 2023
- License
-
AT9120 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
572 ESSAYONS DR.92ND ENGINEER BNHINESVILLE, GA, 313133131Browse GA providers · Browse ZIP 31313
- Phone
- 6014227472
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in HINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DANIEL L SEVERTSON | ATC | 1740365881 |
| JOHN MURAT | ATC | 1265559173 |
| TAURA MONTGOMERY | ATC | 1891812707 |
| NICHOLAS THOMPSON | ATC | 1306233168 |
| SHONTA MONIQUE HOUSTON | ATC, PTA | 1821609835 |
| KYLE J. LEWIS | MS, ATC | 1407430978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.