# ACTIVE FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558318667
- **Authorized official:** DR. SHANA L SULLIVAN D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (864) 223-2236

## Contact information

- **Practice address:** 2410 HWY 72 221 E, GREENWOOD, SC 29649-9722
- **Practice address phone:** (864) 223-2236
- **Practice address fax:** (864) 223-2246
- **Mailing address:** PO BOX 50091, GREENWOOD, SC 29649-0019
- **Mailing address phone:** (864) 223-2236
- **Mailing address fax:** (864) 223-2246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3109 | SC | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020