Individual
DR. STEPHANIE GRACE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
113 OAK LAUREL, WOODSTOCK, GA 30188-6721
(770) 757-0048
Mailing address
113 OAK LAUREL, WOODSTOCK, GA 30188-6721
(770) 757-0048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008394
GA
Other
Enumeration date
01/07/2009
Last updated
12/14/2009
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