Provider Demographics
NPI:1326193947
Name:SERRANO, ALEJANDRO (DC, PHY ASST- C)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:SERRANO
Suffix:
Gender:M
Credentials:DC, PHY ASST- C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4852 JIMMY CARTER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3643
Mailing Address - Country:US
Mailing Address - Phone:770-935-3240
Mailing Address - Fax:770-935-3242
Practice Address - Street 1:4852 JIMMY CARTER BLVD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3643
Practice Address - Country:US
Practice Address - Phone:770-935-3240
Practice Address - Fax:770-935-3242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO 007809111NX0800X
GA003324363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical