National Provider Identifier Database

WEST GEORGIA REGENERATIVE MEDICINE LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

WEST GEORGIA REGENERATIVE MEDICINE LLC
3624 EDGEWOOD RD STE B
COLUMBUS, GA31907
Phone: 762-204-4103
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for WEST GEORGIA REGENERATIVE MEDICINE LLC

NPI Number 1629555172
Legal business name
LBN
WEST GEORGIA REGENERATIVE MEDICINE LLC
Authorized official MICHAEL HANIOTIS - (AUTHORIZED OFFICIAL/PARTNER)
Entity Organization
Organization subpart No
Enumeration date 07/26/2018
Last updated 08/07/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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