| Tristar Injury Center Of Decatur Llc | |
|
2417 Candler Rd Decatur GA 30032-6410 | |
| (678) 730-6240 | |
| Not Available |
| Full Name | Tristar Injury Center Of Decatur Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2417 Candler Rd, Decatur, Georgia |
| Authorized Official Name and Position | Alex Jutis (OWNER) |
| Authorized Official Contact | 6787306240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Injury Center Of Decatur Llc 3441 Lawrenceville Suwanee Rd Ste C Suwanee GA 30024-6503 Ph: (678) 730-6240 | Tristar Injury Center Of Decatur Llc 2417 Candler Rd Decatur GA 30032-6410 Ph: (678) 730-6240 |
| NPI Number | 1396495206 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396495206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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