Southern Coastal Premier Chiropractic Pc | |
105 Shirley Ave, Douglas, GA 31533-2325 | |
(912) 720-5556 | |
Not Available |
Full Name | Southern Coastal Premier Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 105 Shirley Ave, Douglas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306402250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Alexander Scott Bridwell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609296946 PECOS PAC ID: 9830318880 Enrollment ID: I20190722001637 |
Mailing Address | Practice Location Address |
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Southern Coastal Premier Chiropractic Pc 105 Shirley Ave, Douglas, GA 31533-2325 Ph: () - | Southern Coastal Premier Chiropractic Pc 105 Shirley Ave, Douglas, GA 31533-2325 Ph: (912) 720-5556 |
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