| Regenerative Medicine Of Alabama | |
|
2500 Flowers Chapel Rd Dothan AL 36305-8300 | |
| (334) 996-4299 | |
| (334) 792-0210 |
| Full Name | Regenerative Medicine Of Alabama |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Flowers Chapel Rd, Dothan, Alabama |
| Authorized Official Name and Position | Kirk Eriksen (PRESIDENT) |
| Authorized Official Contact | 3346994299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medicine Of Alabama 2500 Flowers Chapel Rd Dothan AL 36305-8300 Ph: (334) 996-4299 | Regenerative Medicine Of Alabama 2500 Flowers Chapel Rd Dothan AL 36305-8300 Ph: (334) 996-4299 |
| NPI Number | 1831740489 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 1456785831 |
|---|---|
| Medicare Enrollment ID | O20191217002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831740489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kirk Eriksen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710074323 PECOS PAC ID: 0244491736 Enrollment ID: I20120410000309 |
| Provider Name | Philip T Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811256084 PECOS PAC ID: 5294972386 Enrollment ID: I20130509000066 |
| Provider Name | Jennifer M Rahn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942925417 PECOS PAC ID: 3375911928 Enrollment ID: I20221201002498 |
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