Organization
GEORGIA INJURY CENTER OF LAWRENCEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JUTIS (CEO)
(678) 730-6240
Entity
Organization
Contact information
Practice address
359 W PIKE ST STE 190, LAWRENCEVILLE, GA 30046-4843
(678) 730-6240
Mailing address
3011 SUTTON GATE DR STE 210, SUWANEE, GA 30024-5153
(678) 730-6240
(678) 730-1005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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