Jackson Lewis Sullivan, MD
Jackson Lewis Sullivan, MD is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4320 Holmestown RdMyrtle Beach, SC 29588-7837
Phone: (843) 652-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1538017744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 21, 2026 |
| Last updated in NPPES | March 21, 2026 |
| Certification date | March 21, 2026 |
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