Individual
DR. NICHOLE WARRINGTON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
230 RIVERSTONE PKWY STE B, CANTON, GA 30114-6414
(770) 720-0009
Mailing address
186 W. PUTNAM FERRY RD, WOODSTOCK, GA 30189
(770) 592-3306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006849
GA
Other
Enumeration date
05/08/2007
Last updated
10/04/2020
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