Individual
DR. SHANA L SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2410 HWY 72 221 E, GREENWOOD, SC 29649-9722
(864) 223-2236
(864) 223-2246
Mailing address
PO BOX 50091, GREENWOOD, SC 29649-0019
(864) 223-2236
(864) 223-2246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3109
SC
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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