SULLIVAN CHIROPRACTIC LLC NPI 1346785821

NPI Information

NPI: 1346785821
Provider Name: SULLIVAN CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2453 TOWNE LAKE PKWY
WOODSTOCK, GA
ZIP 30189
Phone: (770) 592-2505
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SULLIVAN CHIROPRACTIC LLC is a chiropractor in Woodstock, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SULLIVAN CHIROPRACTIC LLC NPI is 1346785821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2453 TOWNE LAKE PKWY
WOODSTOCK, GA
ZIP 30189-525
Phone: (770) 592-2505
Fax: (770) 592-2433

The provider's authorized official is Nichole Sullivan .
The authorized official title is Owner/ Doctor and has the following contact phone number (770) 592-2505.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		6849	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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