Tristar Injury Center Of Conyers LLC
Chiropractor in Conyers, GA. Organization (NPI-2).
NPI number1831936699
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1831936699
- Entity type
- Organization (NPI-2)
- Legal business name
- Tristar Injury Center Of Conyers LLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2024
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
1091 West Ave SwConyers, GA 30012-5243
Phone 678-730-6240
Mailing address
1091 West Ave SwConyers, GA 30012-5243
Authorized official
Alex Jutis
Ceo
6787306240
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