COFFEE CHIROPRACTIC LLC - NPI 1275187403 - Chiropractor in Douglas, GA

Q: What is Coffee Chiropractic LLC's NPI number?

The NPI number for Coffee Chiropractic LLC is 1275187403. It was assigned to this organization in the NPPES registry on July 25, 2019.

Q: What is Coffee Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

On this page

About Coffee Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEE CHIROPRACTIC LLC (NPI 1275187403) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Tifton and lists Wycliff Harold Stewart, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1275187403

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCOFFEE CHIROPRACTIC LLC

Location Address1103 MADISON AVE NDouglas, GA 31533-2803

Mailing Address1103 Madison Ave NDouglas, GA 31533-2803 · (912) 384-3002 · Fax (912) 383-4691

Phone(912) 384-3002

Fax(912) 383-4691

Organization SubpartNo

Authorized OfficialWycliff Harold StewartChiropractor/owner · (912) 384-3002

Enumeration DateJuly 25, 2019

Last NPPES UpdateDecember 13, 20225 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1275187403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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 column and its interrelationship with other body systems.

1103 MADISON AVE N, Douglas, GA 31533

Open in Google Maps ↗

Secondary Practice Location 1

Location 1612 Tift Ave NTifton, GA 31794-4468 · Phone (229) 387-0605 · Fax (229) 382-4342

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY HUTCHISON D.C.

Chiropractor