| NPI | 1558008771 |
|---|---|
| Doing Business As | REGEN OSTEO |
| Entity Type | Organization |
| Authorized Contact | JEFF SELANO Manager / Partial Owner 770-445-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |