Organization
PERFORMANCE INJURY CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBUKOLA AKINTOYE MD (MEDICAL DIRECTOR)
(404) 296-4888
Entity
Organization
Contact information
Practice address
4294 MEMORIAL DR, SUITE D, DECATUR, GA 30032-1226
(404) 296-4888
(404) 296-8811
Mailing address
4294 MEMORIAL DR, SUITE D, DECATUR, GA 30032-1226
(404) 296-4888
(404) 296-8811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2973
GA
207R00000X
Internal Medicine Physician
038164
GA
Other
Enumeration date
10/10/2008
Last updated
04/02/2009
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