REGENERATIVE ORTHOPAEDICS SURGERY CENTER LLC NPI 1952885543

NPI Information

NPI: 1952885543
Provider Name: REGENERATIVE ORTHOPAEDICS SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2155763

Address:
135 N PARK PL STE 100
STOCKBRIDGE, GA
ZIP 30281
Phone: (256) 438-8160
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REGENERATIVE ORTHOPAEDICS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Stockbridge, GA. REGENERATIVE ORTHOPAEDICS SURGERY CENTER, LLC NPI is 1952885543. The provider is registered as an organization entity type.

The provider's business location address is:

135 N PARK PL STE 100
STOCKBRIDGE, GA
ZIP 30281-209
Phone: (256) 438-8160

The provider's authorized official is Brooke Galimore .
The authorized official title is Nurse Administrator and has the following contact phone number (256) 438-8160.

The CLIA number assigned to this NPI record is 11D2155763 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 10/14/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

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