Organization · Type 2 NPI

Joint Regeneration & Anti-Aging of

Multi-Specialty Clinic/Center · Peachtree City, GA

NPI number 1073116554 Active

Practice location

1601 Georgian Park Ste Terrace
Peachtree City, GA 30269-6968

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1073116554

Joint Regeneration & Anti-Aging of's National Provider Identifier is 1073116554, issued on Nov 18, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Peachtree City, GA. The record was last updated on Nov 23, 2020.