IndividualActive
Alyson Sullivan
NPI 1063276053 · Physician Assistant · Charleston, SC
Provider details
- NPI number
- 1063276053
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-5115
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.