# SELANO CHIROPRACTIC CENTER, INC.

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

## Provider details

- **NPI number:** 1609096213
- **Authorized official:** DR. JEFFREY L SELANO DC (CLINC DIRECTOR)
- **Authorized official phone:** (770) 445-1362

## Contact information

- **Practice address:** 243 MERCHANTS DRIVE, DALLAS, GA 30132
- **Practice address phone:** (770) 445-1362
- **Practice address fax:** (770) 445-5860
- **Mailing address:** PO BOX 419, DALLAS, GA 30132-0008
- **Mailing address phone:** (770) 445-1362
- **Mailing address fax:** (770) 445-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR005181 | GA | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 05/24/2022