A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
GA license #2236taxonomy 111N00000X
Identifiers
Type
Value
Notes
01 (GA)
GRP1151
MEDICARE GROUP NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Coastal Chiropractic Clinic
Type code 3recorded 2008-01-03
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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