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GARY J SULLIVAN DC
NPI 1104808385
Chiropractor in Roxboro, NC

Active since November 15, 2005
30 SEMORA RD, ROXBORO, NC 27573(336) 599-6771(336) 599-6494 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary J Sullivan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY J SULLIVAN DC (NPI 1104808385) is a healthcare organization registered as a chiropractor in Roxboro, North Carolina and active in the NPI registry since November 2005. The organization lists Gary J Sullivan, Gen Partner, as its authorized official.

NPPES Registry Identity

NPI1104808385
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSULLIVAN CHIROPRACTIC CLINIC
Location Address30 SEMORA RDRoxboro, NC 27573-6201
Mailing AddressPo Box 1091Roxboro, NC 27573-1091 · (336) 599-6771 · Fax (336) 599-6494
Phone(336) 599-6771
Fax(336) 599-6494
Organization SubpartNo
Authorized OfficialGary J SullivanGen Partner · (336) 599-6771
Enumeration DateNovember 15, 2005
Last NPPES UpdateAugust 29, 2007
✔ NPI 1104808385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 1757
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.
30 SEMORA RD, Roxboro, NC 27573
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Other Names 1

Other NameGary J Sullivan Dc

Other Identifiers 1

Medicare PIN2447959NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY J SULLIVAN D.C.
Chiropractor
30 SEMORA RD
ROXBORO, NC 27573
Person County (336) 599-6771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Chiropractic Clinic's NPI number?

The NPI number for Sullivan Chiropractic Clinic is 1104808385. It was assigned to this organization in the NPPES registry on November 15, 2005. The provider is also known as Gary J Sullivan Dc.

Where is Sullivan Chiropractic Clinic located?

Sullivan Chiropractic Clinic is located at 30 Semora Rd, Roxboro, NC 27573. The listed phone number is (336) 599-6771.

What is Sullivan Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Sullivan Chiropractic Clinic was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.