Coffee Chiropractic LLC

NPI #1275187403 in Douglas, Georgia

Provider Information

NPI Number: 1275187403
Entity Type: Organization
Organization Name: Coffee Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 25, 2019
Last Updated: Dec 13, 2022

Practice Location

Address: 1103 MADISON AVE N
City: Douglas
State: Georgia
ZIP Code: 31533-2803
Phone: (912) 384-3002

Authorized Official

Name: WYCLIFF HAROLD STEWART, DC
Title: CHIROPRACTOR/OWNER
Phone: (912) 384-3002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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