| NPI | 1740369982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOUGLAS SULLIVAN President/Owner 704-547-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2832) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-01-23 |