National Provider Identifier Database

JOINT REGENERATION OF LAKE OCONEE LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

JOINT REGENERATION OF LAKE OCONEE LLC
1612 MARS HILL RD STE B
WATKINSVILLE, GA30677-4889
Phone: 762-220-1199
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for JOINT REGENERATION OF LAKE OCONEE LLC

NPI Number 1073274817
Legal business name
LBN
JOINT REGENERATION OF LAKE OCONEE LLC
Authorized official PATTY STEWART - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2022
Last updated 02/17/2025 - More than a year 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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