# JOINT REGENERATION OF LAKE OCONEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073274817
- **Authorized official:** PATTY STEWART (OWNER)
- **Authorized official phone:** (706) 705-1464

## Contact information

- **Practice address:** 1612 MARS HILL RD STE B, WATKINSVILLE, GA 30677-4889
- **Practice address phone:** (762) 220-1199
- **Mailing address:** 1612 MARS HILL RD STE B, WATKINSVILLE, GA 30677-4889
- **Mailing address phone:** (706) 705-1464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 02/17/2025