Organization
ATLANTA SPORTS & INJURY CENTERS FOR REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTAURES JACKSON (MANAGER)
(770) 909-0590
Entity
Organization
Contact information
Practice address
100 EAGLES WALK, SUITE B, STOCKBRIDGE, GA 30281-6335
(770) 909-0590
(770) 909-1045
Mailing address
100 EAGLES WALK, SUITE B, STOCKBRIDGE, GA 30281-6335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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