Organization
SOUTHERN REGIONAL ACCIDENT & INJURY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KOHOUT (PRESIDENT)
(770) 991-1227
Entity
Organization
Contact information
Practice address
34 UPPER RIVERDALE RD SE, SUITE 100D, RIVERDALE, GA 30274-2635
(770) 991-1227
Mailing address
PO BOX 550029, ATLANTA, GA 30355-2529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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