Regenerative Therapy of Georgia
NPI #1962973156 in Stonecrest, Georgia
Provider Information
- NPI Number
- 1962973156
- Entity Type
- Organization
- Organization Name
- Regenerative Therapy of Georgia
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Sep 22, 2022
Practice Location
- Address
- 5040 SNAPFINGER WOODS DRIVE
- Address 2
- SUITE 200
- City
- Stonecrest
- State
- Georgia
- ZIP Code
- 30035
- Phone
- (770) 380-6560
Authorized Official
- Name
- MRS. LAKENDRA FULBRIGHT
- Title
- OWNER
- Phone
- (770) 906-1316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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