Organization
COFFEE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYCLIFF HAROLD STEWART DC (CHIROPRACTOR/OWNER)
(912) 384-3002
Entity
Organization
Contact information
Practice address
1103 MADISON AVE N, DOUGLAS, GA 31533-2803
(912) 384-3002
(912) 383-4691
Mailing address
1103 MADISON AVE N, DOUGLAS, GA 31533-2803
(912) 384-3002
(912) 383-4691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
12/13/2022
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