Organization
COASTAL CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MICHAEL TESTER DC (SOLE MBR)
(843) 455-6540
Entity
Organization
Contact information
Practice address
9428 OCEAN HWY STE 1, PAWLEYS ISLAND, SC 29585-8259
(843) 237-1919
(843) 237-7694
Mailing address
59 RAIN TREE LN, PAWLEYS ISLAND, SC 29585-6428
(843) 455-6540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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