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Organization

COASTAL CHIROPRACTIC CLINIC INC

Active
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Organization

COASTAL CHIROPRACTIC CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN L GOLDBERG DC (CEO)
(912) 351-0875
Entity
Organization

Contact information

Practice address
7370 HODGSON MEMORIAL DR, STE E3, SAVANNAH, GA 31406-2536
(912) 351-0875
Mailing address
7370 HODGSON MEMORIAL DR, STE E3, SAVANNAH, GA 31406-2536
(912) 351-0875

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002514
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCBCB
MEDICARE IDENTIFICATION NUMBER
GA
Enumeration date
08/05/2008
Last updated
12/03/2009
About Stedi
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