SOUTHERN COASTAL PREMIER CHIROPRACTIC PC
NPI 1306402250
Chiropractor in Douglas, GA

Active since May 16, 2019
105 SHIRLEY AVE, DOUGLAS, GA 31533(912) 720-5556 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2019, May 16, 2019 (2 updates tracked since 2019).

About Southern Coastal Premier Chiropractic Pc NPPES

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

SOUTHERN COASTAL PREMIER CHIROPRACTIC PC (NPI 1306402250) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since May 2019. The organization lists Alexander Scott Bridwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1306402250
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN COASTAL PREMIER CHIROPRACTIC PC
Location Address105 SHIRLEY AVEDouglas, GA 31533-2325
Mailing Address105 Shirley AveDouglas, GA 31533-2325
Organization SubpartNo
Authorized OfficialAlexander Scott BridwellOwner · (912) 720-5556
Enumeration DateMay 16, 2019
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
NPI 1306402250 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.

105 SHIRLEY AVE, Douglas, GA 31533

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.

Chiropractor
105 SHIRLEY AVE
DOUGLAS, GA 31533
Massage Therapist
105 SHIRLEY AVE
DOUGLAS, GA 31533
Chiropractor
105 SHIRLEY AVE
DOUGLAS, GA 31533
Chiropractor
105 SHIRLEY AVE
DOUGLAS, GA 31533
Chiropractor (Rehabilitation)
105 SHIRLEY AVE
DOUGLAS, GA 31533
Chiropractor
105 SHIRLEY AVE
DOUGLAS, GA 31533
Chiropractor
105 SHIRLEY AVE
DOUGLAS, GA 31533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Coastal Premier Chiropractic PC's NPI number?

The NPI number for Southern Coastal Premier Chiropractic PC is 1306402250. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Southern Coastal Premier Chiropractic PC located?

Southern Coastal Premier Chiropractic PC is located at 105 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 720-5556.

What is Southern Coastal Premier Chiropractic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Coastal Premier Chiropractic PC was last updated on November 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.