Organization
BEACHTOWN CHIROPRACTIC CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TYLER GREGORY DC (DOCTOR OF CHIROPRACTIC)
(334) 790-0484
Entity
Organization
Contact information
Practice address
15600 PANAMA CITY BEACH PKWY UNIT 700, PANAMA CITY BEACH, FL 32413-5430
(334) 790-0484
Mailing address
323 AIRPORT RD STE C, AUBURN, AL 36830-5701
(334) 212-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12515
FL
Other
Enumeration date
07/11/2018
Last updated
10/24/2018
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