Organization
SERRA CHIROPRACTIC LIFE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M. SERRA D.C. (OWNER)
(770) 922-1212
Entity
Organization
Contact information
Practice address
1091 WEST AVE SW, CONYERS, GA 30012-5243
(770) 922-1212
(770) 922-1213
Mailing address
1091 WEST AVE SW, CONYERS, GA 30012-5243
(770) 922-1212
(770) 922-1213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1495
GA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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