Organization
TRISTAR INJURY CENTER OF DECATUR LLC
Active
Organization
TRISTAR INJURY CENTER OF DECATUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JUTIS DC (OWNER)
(678) 730-6240
Entity
Organization
Contact information
Practice address
2417 CANDLER RD, DECATUR, GA 30032-6410
(678) 730-6240
Mailing address
3441 LAWRENCEVILLE SUWANEE RD STE C, SUWANEE, GA 30024-6503
(678) 730-6240
(678) 730-1005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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