Shane Sullivan is a Durham, North Carolina based physiatrist who is specialized in Sports Medicine (PM&R). Active license number of Shane Sullivan as Sports Medicine (PM&R) is P21873 in North Carolina.
Shane Sullivan provides continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Complete Profile:
Shane Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Sports Medicine (PM&R)
Gender:
Male
Practice Address:
4221 Garrett Rd, Durham, North Carolina, 27707-3467
Phone:
919-937-9607
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184339699
NPI Enumeration Date:
18 Jan, 2023
NPI Last Update On:
18 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Sullivan are as mentioned below.
License Number
Specialization
State
Status
P21873
Sports Medicine
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shane Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NA
Other
NA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1611 Chesborough Rd, Winston Salem, North Carolina
Zip:
27127-7317
Phone Number:
336-409-6320
Fax Number:
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Patients can reach Shane Sullivan at 4221 Garrett Rd, Durham, North Carolina or can call to book an appointment on 919-937-9607. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.