Organization
TRISTAR INJURY CENTER OF CONYERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JUTIS (CEO)
(678) 730-6240
Entity
Organization
Contact information
Practice address
1091 WEST AVE SW, CONYERS, GA 30012-5243
(678) 730-6240
Mailing address
1091 WEST AVE SW, CONYERS, GA 30012-5243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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