Regenesisdoc LLC

NPI #1275047938 in Tucker, Georgia

Provider Information

NPI Number
1275047938
Entity Type
Organization
Organization Name
Regenesisdoc LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Nov 16, 2017
Last Updated
Nov 16, 2017

Practice Location

Address
2892 MOUNTAIN INDUSTRIAL BLVD
City
Tucker
State
Georgia
ZIP Code
30084-3014
Phone
(678) 825-5757

Authorized Official

Name
DR. ERIC MABO, MD
Title
OWNER
Phone
(678) 825-5757

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care
Clinic/Center - Multi-SpecialtyMulti-Specialty

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