Thaxton Sullivan

Athletic Trainer · Hinesville, GA

Individual Active NPI

NPI number 1942817895

Practice location

572 Essayons Dr.
92ND Engineer BN
Hinesville, GA 31313-3131
Phone
(601) 422-7472

Open in Google Maps

NPI record

NPI
1942817895
Entity type
Individual (Type 1)
Enumeration date
September 24, 2020
Last updated
March 22, 2023
Certified
March 20, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT9120 TX
Athletic Trainer 2255A2300X — —

Mailing address

3 Courtland Dr Apt 50
Hattiesburg, MS 39402-8186
Phone
(601) 422-7472

Other practice locations (1)

  • 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 · (601) 422-7472

About Thaxton Sullivan

Thaxton Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 572 Essayons Dr., 92ND Engineer BN, Hinesville, GA 31313-3131. The NPI number 1942817895 was assigned on September 24, 2020 and the record was last updated on March 22, 2023.

Thaxton Sullivan lists a license in the registry: #AT9120 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thaxton Sullivan?

The NPI number is 1942817895.

What is the phone number of Thaxton Sullivan?

The phone number listed for the practice location is (601) 422-7472.

Where is Thaxton Sullivan located?

572 Essayons Dr., 92ND Engineer BN, Hinesville, GA 31313-3131.

What is the taxonomy code for Thaxton Sullivan?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Hinesville

All Athletic Trainer providers in Hinesville, GA →