Organization
SULLIVAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE SULLIVAN DC (OWNER/ DOCTOR)
(770) 592-2505
Entity
Organization
Contact information
Practice address
2453 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5525
(770) 592-2505
(770) 592-2433
Mailing address
2453 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5525
(770) 592-2505
(770) 592-2433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6849
GA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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