# SELANO CHIROPRACTIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regen Osteo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558008771
- **Authorized official:** JEFF SELANO DC (MANAGER / PARTIAL OWNER)
- **Authorized official phone:** (770) 445-1362

## Contact information

- **Practice address:** 243 MERCHANTS DR, DALLAS, GA 30132-4749
- **Practice address phone:** (770) 445-1362
- **Mailing address:** 243 MERCHANTS DR, DALLAS, GA 30132-4749
- **Mailing address phone:** (770) 445-1362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 05/18/2022