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Dr. Michael Douglas Sullivan, DC
Chiropractor in Charlotte, North Carolina
NPI 1194711804

Michael Douglas Sullivan is a Chiropractor based in Charlotte, NC. Michael Douglas Sullivan practices in Charlotte, NC and has the professional credentials of DC. The NPI Number for Michael Douglas Sullivan is 1194711804 and holds a License No. 2832 (North Carolina).

The current practice location address for Michael Douglas Sullivan is 2315 W Arbors Dr Ste 208A, Charlotte, NC and can be reached out via phone at 704-547-1800 and via fax at 704-547-1611.

Location: 2315 W Arbors Dr Ste 208A, Charlotte, NC, 28262-2577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194711804
Provider Name
Michael Douglas Sullivan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2315 W Arbors Dr Ste 208A, Charlotte, NC, 28262-2577
Phone Number
704-547-1800
Fax Number
704-547-1611
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0844X 01 NC BCBS
618994 01 NC ACN
7998160 01 NC AETNA-INDIVIDUAL
0194L 01 NC CNC/BCBS-GROUP
890844X 05 NC
3002130 01 NC AETNA HMO-SULLIVAN FAMILY
7386420 01 NC AETNA-SULLIVAN FAMILY CHI
institution
Provider Business Practice Location Address Details
Address
2315 W Arbors Dr Ste 208A
City
Charlotte
State
North Carolina
Zip
28262-2577
Phone Number
704-547-1800
Fax Number
704-547-1611
person
Provider Business Mailing Address Details
Address
2315 W Arbors Dr Ste 208A
City
Charlotte
State
North Carolina
Zip
28262-2577
Phone Number
704-547-1800
Fax Number
704-547-1611
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2832 (North Carolina)
Definition
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.
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