# REGENERATIVE JOINT CLINICS LLC

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

## Provider details

- **NPI number:** 1548838485
- **Authorized official:** JACK WRIGHT (MANAGING MEMBER)
- **Authorized official phone:** (470) 895-0610

## Contact information

- **Practice address:** 483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274-2579
- **Practice address phone:** (470) 895-0610
- **Practice address fax:** (706) 666-1325
- **Mailing address:** 483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274-2579
- **Mailing address phone:** (470) 895-0610
- **Mailing address fax:** (706) 666-1325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 08/14/2026
