Regenesisdoc Llc

LBN: Regenesisdoc Llc
Regenesisdoc Llc is an health care organization with primary practice located at 2892 Mountain Industrial Blvd , Tucker GA 30084-3014. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Regenesisdoc Llc can be contacted via phone (678) 825-5757, or through Mabo, Eric via phone (678) 825-5757.

Contact Information

Primary practice address
2892 Mountain Industrial Blvd Tucker GA 30084-3014
Phone: (678) 825-5757
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mabo, Eric Doctor of Medicine (MD)
Phone: (678) 825-5757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1275047938
LBN Legal business name Regenesisdoc Llc
DBA Doing business as
Authorized official Mabo, Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2017
Last updated Nov 16th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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