Performance Injury Center Llc. | |
4294 Memorial Dr Suite D Decatur GA 30032-1226 | |
(404) 296-4888 | |
(404) 296-8811 |
Full Name | Performance Injury Center Llc. |
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Speciality | Chiropractor |
Location | 4294 Memorial Dr, Decatur, Georgia |
Authorized Official Name and Position | Adebukola Akintoye (MEDICAL DIRECTOR) |
Authorized Official Contact | 4042964888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Performance Injury Center Llc. 4294 Memorial Dr Suite D Decatur GA 30032-1226 Ph: (404) 296-4888 | Performance Injury Center Llc. 4294 Memorial Dr Suite D Decatur GA 30032-1226 Ph: (404) 296-4888 |
NPI Number | 1003067828 |
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Provider Enumeration Date | 10/10/2008 |
Last Update Date | 04/02/2009 |
Identifier | Type | State | Issuer |
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1003067828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 038164 (Georgia) | Secondary |
111N00000X | Chiropractor | 2973 (Georgia) | Primary |
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