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Organization

JOINT REGENERATION OF DALTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THUC NGUYEN DOAN NP (MANAGER OWNER)
(706) 936-3361
Entity
Organization

Contact information

Practice address
100 W WALNUT AVE STE 116, DALTON, GA 30720-8439
(706) 493-5446
Mailing address
2006 BARRETT KNOLL CIR NW, KENNESAW, GA 30152-8209
(706) 936-3361

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
07/19/2023
Last updated
11/01/2023
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