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Contact Information

CELLGEN REGENERATIVE MEDICINE LLC
1147 US HIGHWAY 80 W
POOLER, GA31322-2203
 Phone: 912-348-3146
 Fax: 912-748-1507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CELLGEN REGENERATIVE MEDICINE LLC

NPI Number 1386127801
LBN Legal business name CELLGEN REGENERATIVE MEDICINE LLC
Authorized official JENNIFER RANICKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2018
Last updated 09/11/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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