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Organization
REGENERATIVE JOINT CLINICS LLC
Active
Organization
REGENERATIVE JOINT CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WRIGHT (MANAGING MEMBER)
(470) 895-0610
Entity
Organization
Contact information
Practice address
483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274-2579
(470) 895-0610
(706) 666-1325
Mailing address
483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274-2579
(470) 895-0610
(706) 666-1325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/16/2021
Last updated
08/14/2026
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