Organization
JOINT REGENERATION & ANTI-AGING OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN MANZI (OWNER)
(770) 683-4495
Entity
Organization
Contact information
Practice address
1601 GEORGIAN PARK STE TERRACE, PEACHTREE CITY, GA 30269-6968
(770) 683-4495
Mailing address
1601 GEORGIAN PARK STE TERRACE, PEACHTREE CITY, GA 30269-6968
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/18/2020
Last updated
11/23/2020
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