| NPI | 1801841366 |
|---|---|
| Doing Business As | COASTAL CHIROPRACTIC FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RACHELLE A LARSEN Owner/Member 843-225-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC SC3074) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-01-10 |