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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

NPI Number 1629555172
LBN Legal business name WEST GEORGIA REGENERATIVE MEDICINE LLC
Authorized official MICHAEL HANIOTIS - (AUTHORIZED OFFICIAL/PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2018
Last updated 08/07/2025 - About 10 months 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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