| Regenerative Medical Group Inc | |
|
2005 N 2nd St Booneville MS 38829-7728 | |
| (662) 416-3306 | |
| Not Available |
| Full Name | Regenerative Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2005 N 2nd St, Booneville, Mississippi |
| Authorized Official Name and Position | Bryn Jarald Henderson (OWNER) |
| Authorized Official Contact | 7146394012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medical Group Inc 615 E Chapman Ave Orange CA 92866-1643 Ph: () - | Regenerative Medical Group Inc 2005 N 2nd St Booneville MS 38829-7728 Ph: (662) 416-3306 |
| NPI Number | 1821557281 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821557281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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