Organization
SOUTHERN COASTAL PREMIER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER SCOTT BRIDWELL DC (OWNER)
(912) 720-5556
Entity
Organization
Contact information
Practice address
105 SHIRLEY AVE, DOUGLAS, GA 31533-2325
(912) 720-5556
Mailing address
105 SHIRLEY AVE, DOUGLAS, GA 31533-2325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
11/05/2019
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