Individual
CHANEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1127 S HIGH ST, COLUMBIA, TN 38401-3719
(931) 698-3717
Mailing address
1428 LYON ST, COLUMBIA, TN 38401-5268
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11719
TN
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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