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WEST GEORGIA REGENERATIVE MEDICINE LLC NPI 1629555172


NPI Information

NPI: 1629555172
Provider Name: WEST GEORGIA REGENERATIVE MEDICINE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3624 EDGEWOOD RD STE B
COLUMBUS, GA
ZIP 31907
Phone: (762) 204-4103
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WEST GEORGIA REGENERATIVE MEDICINE LLC is a general practice in Columbus, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WEST GEORGIA REGENERATIVE MEDICINE LLC NPI is 1629555172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3624 EDGEWOOD RD STE B
COLUMBUS, GA
ZIP 31907
Phone: (762) 204-4103

The provider's authorized official is Michael Haniotis .
The authorized official title is Authorized Official/partner and has the following contact phone number (762) 204-4103.

The enumeration date for this NPI number is 7/26/2018 and was last updated on 7/31/2018.


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
1225100000XPhysical TherapistNo
2208D00000XGeneral PracticeYes

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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