# SOUTH FULTON REGENERATIVE MEDICINE AND PHYSICAL REHABILITATION

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

## Provider details

- **NPI number:** 1750996302
- **Authorized official:** DR. SHAWN G JONES DC (OWNER)
- **Authorized official phone:** (404) 349-3601

## Contact information

- **Practice address:** 5835 CAMPBELLTON RD SW STE 204, ATLANTA, GA 30331-8014
- **Practice address phone:** (404) 349-3601
- **Mailing address:** 5835 CAMPBELLTON RD SW STE 204, ATLANTA, GA 30331-8014
- **Mailing address phone:** (404) 349-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2020
- **Last updated:** 09/10/2020