| Southern Coastal Premier Chiropractic Pc | |
|
105 Shirley Ave, Douglas, GA 31533-2325 | |
| (912) 720-5556 | |
| Not Available |
| Full Name | Southern Coastal Premier Chiropractic Pc |
|---|---|
| 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 |
|---|---|---|---|
| 1306402250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Alexander Scott Bridwell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609296946 PECOS PAC ID: 9830318880 Enrollment ID: I20190722001637 |
| Mailing Address | Practice Location Address |
|---|---|
| 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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