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Contact Information

WEST GEORGIA REGENERATIVE MEDICINE LLC
3624 EDGEWOOD RD STE B
COLUMBUS, GA31907
 Phone: 762-204-4103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for WEST GEORGIA REGENERATIVE MEDICINE LLC · (Female)

NPI Number 1629555172
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2018
Last updated 08/07/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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