# JOINT REGENERATION OF DALTON

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

## Provider details

- **NPI number:** 1275213951
- **Authorized official:** THUC NGUYEN DOAN NP (MANAGER OWNER)
- **Authorized official phone:** (706) 936-3361

## Contact information

- **Practice address:** 100 W WALNUT AVE STE 116, DALTON, GA 30720-8439
- **Practice address phone:** (706) 493-5446
- **Mailing address:** 2006 BARRETT KNOLL CIR NW, KENNESAW, GA 30152-8209
- **Mailing address phone:** (706) 936-3361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 11/01/2023