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REGENERATIVE MEDICAL CENTER PC NPI 1992347587


NPI Information

NPI: 1992347587
Provider Name: REGENERATIVE MEDICAL CENTER, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338
Phone: (770) 285-7879
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REGENERATIVE MEDICAL CENTER, PC is a pediatrics in Atlanta, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. REGENERATIVE MEDICAL CENTER, PC NPI is 1992347587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338-308
Phone: (770) 285-7879

The provider's authorized official is Joan Olubunmi Ifarinde .
The authorized official title is Director and has the following contact phone number (770) 285-7879.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/13/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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