Dr J Myra Sargent Dc PC
Chiropractor in East Point, GA. Organization (NPI-2).
NPI number1992923973
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1992923973
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr J Myra Sargent Dc PC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Main Street Clinic (Other Name)
Practice location
1380 Cleveland AvenueMain Street Clinic
East Point, GA 30344-6959
Phone 404-765-0021 · Fax 404-765-0323
Mailing address
4203 Terrace CtSmyrna, GA 30082
Phone 404-765-0021 · Fax 404-765-0323
Authorized official
J Myra Sargent
President
4047650021
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All 12 Chiropractor providers in East Point · All 619 providers in East Point
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