| Regenerative Joint Pt Llc | |
|
483 Upper Riverdale Rd Sw Ste F Riverdale GA 30274-2579 | |
| (470) 895-0610 | |
| Not Available |
| Full Name | Regenerative Joint Pt Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 483 Upper Riverdale Rd Sw Ste F, Riverdale, Georgia |
| Authorized Official Name and Position | Jack Wright (OWNER) |
| Authorized Official Contact | 7062488456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Joint Pt Llc 1171 Laurel Pointe Watkinsville GA 30677-7559 Ph: (706) 248-8456 | Regenerative Joint Pt Llc 483 Upper Riverdale Rd Sw Ste F Riverdale GA 30274-2579 Ph: (470) 895-0610 |
| NPI Number | 1053981860 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053981860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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