Organization
SULLIVAN FAMILY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOUGLAS SULLIVAN (PRESIDENT/OWNER)
(704) 547-1800
Entity
Organization
Contact information
Practice address
2315 W ARBORS DR STE 208A, CHARLOTTE, NC 28262-2577
(704) 547-1800
(704) 547-1611
Mailing address
2315 W ARBORS DR STE 208A, CHARLOTTE, NC 28262-2577
(704) 547-1800
(704) 547-1611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890844X
—
NC
Enumeration date
11/06/2006
Last updated
01/23/2024
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