Provider Demographics
NPI:1841555893
Name:SULLIVAN-HARRIS, ARIELLE HANDY (MD)
Entity type:Individual
Prefix:MRS
First Name:ARIELLE
Middle Name:HANDY
Last Name:SULLIVAN-HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ARIELLE
Other - Middle Name:HANDY
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3400 C OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:770-422-0306
Practice Address - Street 1:3400 C OLD MILTON PARKWAY
Practice Address - Street 2:SUITE 270
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:770-442-0306
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74108207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine