Organization
THE CENTER FOR REGENERATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J FARRICIELLI MD (OWNER)
(310) 402-4942
Entity
Organization
Contact information
Practice address
1131 QUEENSBOROUGH BLVD STE 102, MOUNT PLEASANT, SC 29464-5430
(843) 901-2145
Mailing address
1131 QUEENSBOROUGH BLVD STE 102, MOUNT PLEASANT, SC 29464-5430
(843) 901-2145
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
12/20/2019
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