Southern Coastal Premier Chiropractic PC

NPI #1306402250 in Douglas, Georgia

Provider Information

NPI Number: 1306402250
Entity Type: Organization
Organization Name: Southern Coastal Premier Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: May 16, 2019
Last Updated: Nov 5, 2019

Practice Location

Address: 105 SHIRLEY AVE
City: Douglas
State: Georgia
ZIP Code: 31533-2325
Phone: (912) 720-5556

Authorized Official

Name: DR. ALEXANDER SCOTT BRIDWELL, DC
Title: OWNER
Phone: (912) 720-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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