REGENCELL OF EAST ALABAMA LLC NPI 1538945910

NPI Details

REGENCELL OF EAST ALABAMA, LLC is a clinic center in Auburn, AL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REGENCELL OF EAST ALABAMA, LLC NPI is 1538945910. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regencell Metabolics.

The provider's business location address is:

1365 GATEWOOD DR
AUBURN, AL
ZIP 36830-834
Phone: (334) 646-1418

The provider's authorized official is Maria Tucker .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (334) 646-1418.

The CLIA number assigned to this NPI record is 01D2289903 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2023 and was last updated on 5/9/2024.

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: