Sullivan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6849 Issued in GA

Legal business name

SULLIVAN CHIROPRACTIC LLC

Practice address

2453 Towne Lake Pkwy
Woodstock, GA 30189-5525

Phone

(770) 592-2505

Fax

(770) 592-2433

NPI assigned

Dec 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nichole Sullivan, DC

Title

Owner/ Doctor

Phone

(770) 592-2505

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1346785821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 TOWNE LAKE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895525",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 TOWNE LAKE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895525",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "770-592-2505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strong Faith Injury Center, LLC
• Jodi Stulak, LPC
• Ian Sturn, DDS
• Tiffany Styles, NP
• Deborah Elizabeth Styron, P.T.
• Stephanie Grace Sullivan, D.C.
• Summit Surgical Partners, LLC
• Superior Healthcare LLC
• Superior Healthcare of Woodstock LLC
• Darren Michael Surma, D.C.

• Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.