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Organization
SERRA CHIROPRACTIC LIFE CENTER, P.C.
Active
Organization
SERRA CHIROPRACTIC LIFE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M. SERRA D.C. (OWNER)
(770) 922-1212
Entity
Organization
Contact information
Practice address
1091 WEST AVE SW, CONYERS, GA 30012-5243
(770) 922-1212
(770) 922-1213
Mailing address
1091 WEST AVE SW, CONYERS, GA 30012-5243
(770) 922-1212
(770) 922-1213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1495
GA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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