REGENMD LLC NPI 1083130520

NPI Information

REGENMD, LLC is a pain clinic center in Charleston, SC. REGENMD, LLC NPI is 1083130520. The provider is registered as an organization entity type.

The provider's business location address is:

764 SAINT ANDREWS BLVD
CHARLESTON, SC
ZIP 29407-168
Phone: (843) 405-1122
Fax: (843) 225-4531

The provider's authorized official is Stephen Pierre Gibert .
The authorized official title is Owner and has the following contact phone number (843) 801-4005.

The CLIA number assigned to this NPI record is 42D2131234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.