| NPI | 1720263288 |
|---|---|
| Doing Business As | COASTAL CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFRY MICHAEL SMITH Owner/President 912-264-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 2236) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2013-04-25 |