Regenerative Medical Group Inc | |
2005 N 2nd St Booneville MS 38829-7728 | |
(662) 416-3306 | |
Not Available |
Full Name | Regenerative Medical Group Inc |
---|---|
Speciality | Family Medicine |
Location | 2005 N 2nd St, Booneville, Mississippi |
Authorized Official Name and Position | Bryn Jarald Henderson (OWNER) |
Authorized Official Contact | 7146394012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Regenerative Medical Group Inc 615 E Chapman Ave Orange CA 92866-1643 Ph: () - | Regenerative Medical Group Inc 2005 N 2nd St Booneville MS 38829-7728 Ph: (662) 416-3306 |
NPI Number | 1821557281 |
---|---|
Provider Enumeration Date | 03/15/2019 |
Last Update Date | 03/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821557281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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