Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CHIRO 007809 | GA |
NPI | 1326193947 |
---|---|
Provider Name | Dr. Alejandro Serrano |
First Address | Norcross, GA 30093-3643 |
Second Address | Norcross, GA 30093-3643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 07/12/2011 |