Sullivan Chiropractic Clinic

NPI 1104808385 - Chiropractor - 111N00000X

NPI Details
NPI 1104808385
Enumeration Date 11/15/2005
Last Updated 08/29/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GARY J GARY
Position GEN PARTNER
Phone (336) 599-6771
Fax (336) 599-6494
Practice Location
30 SEMORA RD
ROXBORO NC, 27573-6201, US
Phone (336) 599-6771
Fax (336) 599-6494
Business Location
PO BOX 1091
ROXBORO NC, 27573-1091, US
Phone (336) 599-6771
Fax (336) 599-6494
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number 1757
Remove 1104808385 NPI Number
 

According to our database, Sullivan Chiropractic Clinic NPI is 1104808385, taxonomy code is 111N00000X and license number is 1757, license state is located at North Carolina. Sullivan Chiropractic Clinic physically located at 30 Semora Rd, Roxboro NC, 27573-6201. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104808385 NPI number is provided on an as is basis without warranty of any kind. 1104808385 is maintained by the National Plan & Provider Enumeration System. The contents of Sullivan Chiropractic Clinic are for informational purposes only.