West Georgia Regenerative Medicine LLC
General Practice

Address: 3624 Edgewood Rd Ste B, Columbus, GA 31907
Phone: 7622044103

West Georgia Regenerative Medicine LLC (NPI# 1629555172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1629555172
Entity Type Organization
Practice Address 3624 Edgewood Rd Ste B
GA 31907
Practice Telephone 7622044103
Mailing Address 3624 Edgewood Rd Ste B
GA 31907-8238
Mailing Telephone 7622044103
Authorized Official Name Dr. Michael Haniotis (AUTHORIZED OFFICIAL/PARTNER)
Authorized Official Telephone 7622044103
Authorized Official Credential DC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-07-26
Last Update Date 2018-07-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208D00000X General Practice Allopathic & Osteopathic Physicians
No 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Office Location

Street Address 3624 EDGEWOOD RD STE B
State GA
Zip Code 31907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702051 At Ease Private Home Care, LLC Home Health 3906 Pond View Court, Columbus, GA 31907 2020-05-20
1285268219 Mh 102, PC Nurse Practitioner 1 Aflac Parkway, Columbus, GA 31907 2020-02-28
1427602978 Alicia Keeshan Taylor Massage Therapist 5401 Gunboat Dr Unit 31, Columbus, GA 31907 2019-08-01
1285101071 Valerie Rena Bickham Chore Provider 1259 Bismarck Drive, Columbus, GA 31907 2018-10-30
1659866747 Transitional Independence, LLC In Home Supportive Care 5633 Lexington Dr, Columbus, GA 31907 2018-06-29
1598285892 Aa Personal Care, LLC Nursing Care 547 Moye Rd, Columbus, GA 31907 2017-06-27
1366981573 Sabrina Renae Crosby Lopes Counselor 1120 21st Unit -a, Columbus, GA 31907 2017-02-21
1326445073 Angela James Nurse Practitioner 6400 Flatrock Road, Columbus, GA 31907 2014-11-24
1841617255 Sabrina Ann Patterson Community Health Worker 2726 Courtland, Columbus, GA 31907 2014-03-24
1811319866 Christine Denise Vanmeter Counselor 2100 Corner Ave., Columbus, GA 31907 2014-01-10
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Zip Code 31907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.