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Licensee Information

John Paul Sullivan, Jr. - PA-C
102181
Active
No
07/19/1997
02/23/2027

Licensee Photograph

Active Supervisor

NameTypeStatusApprovedInactive
Boykin, Robert Ernest, MD MD Active 05/11/2022
Dement, Joseph Miller, MD MD Active 10/23/2023
LeCroy, Charles Michael, MD MD Active 10/20/2008

North Carolina Hospital Admitting Privileges

Location
Memorial Mission Hospital and Mission Surgicare Center
Mission Hospital
St. Joseph's Hospital

Out of State Active/Inactive Licenses

State
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:35:50 PM
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