Individual
CHUCK SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5575 POPLAR AVE STE 702, MEMPHIS, TN 38119-3857
(901) 763-0909
Mailing address
5575 POPLAR AVE STE 702, MEMPHIS, TN 38119-3857
(901) 763-0909
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
92
TN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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