Organization
INTEGRATED HEALTHCARE CENTER OF SOUTHSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JUTIS DC (CEO)
(678) 730-6240
Entity
Organization
Contact information
Practice address
34 UPPER RIVERDALE RD SE STE 206, RIVERDALE, GA 30274-2635
(678) 730-6240
Mailing address
2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2648
(678) 730-6240
(678) 730-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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