Individual
GARY J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 SEMORA RD, ROXBORO, NC 27573-6201
(336) 599-6771
(336) 599-6494
Mailing address
PO BOX 1091, ROXBORO, NC 27573-1091
(336) 599-6771
(336) 599-6494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1757
NC
Other
Enumeration date
05/16/2007
Last updated
08/29/2007
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