Organization
DR J MYRA SARGENT DC PC
Active
Other names
Main Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MYRA SARGENT DC PC (PRESIDENT)
(404) 765-0021
Entity
Organization
Contact information
Practice address
1380 CLEVELAND AVENUE, MAIN STREET CLINIC, EAST POINT, GA 30344-6959
(404) 765-0021
(404) 765-0323
Mailing address
4203 TERRACE CT, SMYRNA, GA 30082
(404) 765-0021
(404) 765-0323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/23/2007
Last updated
12/18/2007
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