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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