Dr. Justin Kersten
Chiropractic Sports Physician
1834 S Cobb Industrial Blvd Se
Smyrna
, Georgia 30082-4908
Dr. Justin Kersten
Chiropractic Sports Physician
1834 S Cobb Industrial Blvd Se
Smyrna
, Georgia 30082-4908
(586) 744-2802
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Justin Kersten
- 942 Mclinden Ave Se
- Smyrna, GA
- Zip : 30080-4142
- Phone : (586) 744-2802
Second Address
- Dr. Justin Kersten
- 1834 S Cobb Industrial Blvd Se
- Smyrna, GA
- Zip : 30082-4908
- Phone : (404) 594-5809
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | CHIR010493 | GA |
National Provider Identifier
| NPI | 1114694411 |
|---|---|
| Provider Name | Dr. Justin Kersten |
| First Address | Smyrna, GA 30080-4142 |
| Second Address | Smyrna, GA 30082-4908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2021 |
| Last Update Date | 24/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.