# REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC

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

## Provider details

- **NPI number:** 1417691247
- **Authorized official:** JOHN FERRELL (CEO)
- **Authorized official phone:** (703) 532-4892

## Contact information

- **Practice address:** 6300 WOODSIDE CT STE E, COLUMBIA, MD 21046-3360
- **Practice address phone:** (443) 234-0536
- **Mailing address:** 1760 OLD MEADOW RD STE 220, MC LEAN, VA 22102-4330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 06/10/2022
