Michael Douglas Sullivan DC

NPI 1194711804 - Chiropractor - 111N00000X

NPI Details
NPI 1194711804
Gender Male
Enumeration Date 09/27/2005
Last Updated 06/29/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
10320 MALLARD CREEK RD
SUITE 280
CHARLOTTE NC, 28262-9756, US
Phone (704) 547-1800
Fax (704) 547-1611
Business Location
10320 MALLARD CREEK RD
SUITE 280
CHARLOTTE NC, 28262-9756, US
Phone (704) 547-1800
Fax (704) 547-1611
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number 2832
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According to our database, Dr. Michael Douglas Sullivan DC NPI is 1194711804, taxonomy code is 111N00000X and license number is 2832, license state is located at North Carolina. Michael Douglas Sullivan DC physically located at 10320 Mallard Creek Rd, Charlotte NC, 28262-9756. NPI Number Michael Douglas Sullivan DC has the Individual type.

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1194711804 NPI number is provided on an as is basis without warranty of any kind. 1194711804 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Douglas Sullivan DC are for informational purposes only.