| NPI | 1053905158 |
|---|---|
| Former Legal Business Name | REGENERATIVE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERMAN AUSTIN YEARGAN Owner / Operator 910-398-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-06-07 |