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Organization
ADVANCED REGENERATIVE HEALTHCARE AND PHYSICAL MEDICINE OF BRUNSWICK
Active
Organization
ADVANCED REGENERATIVE HEALTHCARE AND PHYSICAL MEDICINE OF BRUNSWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENFRED R. HALVERSON DC, PC (OWNER)
(912) 262-9735
Entity
Organization
Contact information
Practice address
712 MALL BLVD, BRUNSWICK, GA 31525-0539
(912) 262-9735
(912) 262-9634
Mailing address
712 MALL BLVD, BRUNSWICK, GA 31525-0539
(912) 262-9735
(912) 262-9634
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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