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Organization
REGENCELL OF EAST ALABAMA, LLC
Active
Organization
REGENCELL OF EAST ALABAMA, LLC
Active
Other names
RegenCell Metabolics
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TUCKER REGISTERED NURSE (DIRECTOR OF CLINICAL OPERATIONS)
(334) 646-1418
Entity
Organization
Contact information
Practice address
1365 GATEWOOD DR, AUBURN, AL 36830-2834
(334) 646-1418
Mailing address
1365 GATEWOOD DR, AUBURN, AL 36830-2834
(334) 646-1418
(334) 521-7117
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2023
Last updated
05/09/2024
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