# REGENCELL OF EAST ALABAMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RegenCell Metabolics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538945910
- **Authorized official:** MARIA TUCKER REGISTERED NURSE (DIRECTOR OF CLINICAL OPERATIONS)
- **Authorized official phone:** (334) 646-1418

## Contact information

- **Practice address:** 1365 GATEWOOD DR, AUBURN, AL 36830-2834
- **Practice address phone:** (334) 646-1418
- **Mailing address:** 1365 GATEWOOD DR, AUBURN, AL 36830-2834
- **Mailing address phone:** (334) 646-1418
- **Mailing address fax:** (334) 521-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2023
- **Last updated:** 05/09/2024