Regenesis
NPI #1164976825 in Huntsville, Alabama
Provider Information
- NPI Number
- 1164976825
- Entity Type
- Organization
- Organization Name
- Regenesis
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 11, 2016
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 300 RANDOLPH AVE SE
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35801-4118
- Phone
- (256) 715-8193
Authorized Official
- Name
- DR. CHARLES IVY LEE, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (256) 715-8193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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