Organization
SPRINGS REJUVENATION LLC
Active
Other names
Springs Rejuvenation
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA REEDER BSHA, CCMA, CBCS (PRACTICE ADMINISTRATOR)
(470) 589-7120
Entity
Organization
Contact information
Practice address
420 E 3RD ST STE 705, LOS ANGELES, CA 90013-1646
(404) 780-5617
Mailing address
4411 SUWANEE DAM RD STE 440, SUWANEE, GA 30024-8706
(470) 589-7120
(844) 350-6954
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/17/2023
Last updated
01/17/2024
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