Regenerative Medical Group INC
NPI #1821557281 in Booneville, Mississippi
Provider Information
- NPI Number
- 1821557281
- Entity Type
- Organization
- Organization Name
- Regenerative Medical Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- REGENERATIVE MEDICAL GROUP INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 15, 2019
- Last Updated
- Mar 15, 2019
Practice Location
- Address
- 2005 N 2ND ST
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-7728
- Phone
- (662) 416-3306
Authorized Official
- Name
- BRYN JARALD HENDERSON
- Title
- OWNER
- Phone
- (714) 639-4012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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