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TRISTAR INJURY CENTER OF DECATUR LLC NPI 1396495206


NPI Information

NPI: 1396495206
Provider Name: TRISTAR INJURY CENTER OF DECATUR LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2417 CANDLER RD
DECATUR, GA
ZIP 30032
Phone: (678) 730-6240
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TRISTAR INJURY CENTER OF DECATUR LLC is an internal medicine in Decatur, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TRISTAR INJURY CENTER OF DECATUR LLC NPI is 1396495206. The provider is registered as an organization entity type.

The provider's business location address is:

2417 CANDLER RD
DECATUR, GA
ZIP 30032-410
Phone: (678) 730-6240

The provider's authorized official is Alex Jutis .
The authorized official title is Owner and has the following contact phone number (678) 730-6240.

The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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