Organization
COASTAL CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN A WILLIAMS D.C. (OWNER)
(410) 213-8787
Entity
Organization
Contact information
Practice address
12417 OCEAN GTWY, UNIT 2A, OCEAN CITY, MD 21842-9521
(410) 213-8787
(410) 213-1234
Mailing address
12417 OCEAN GTWY, UNIT 2A, OCEAN CITY, MD 21842-9521
(410) 213-8787
(410) 213-1234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61990802
BCBS
MD
Enumeration date
08/29/2007
Last updated
09/11/2013
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