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Organization
SOUTHEASTERN REGENERATIVE INSTITUTE
Active
Organization
SOUTHEASTERN REGENERATIVE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD DURRETT JR. MD (CO-OWNER)
(803) 642-6500
Entity
Organization
Contact information
Practice address
15 MOSS CREEK VLG, HILTON HEAD ISLAND, SC 29926-1105
(803) 642-6500
(803) 642-6472
Mailing address
15 MOSS CREEK VLG, HILTON HEAD ISLAND, SC 29926-1105
(803) 642-6500
(803) 642-6472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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