Organization
CELLGEN REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN RANICKI (OWNER)
(912) 348-3146
Entity
Organization
Contact information
Practice address
1147 US HIGHWAY 80 W, POOLER, GA 31322-2203
(912) 348-3146
(912) 748-1507
Mailing address
1147 US HIGHWAY 80 W, POOLER, GA 31322-2203
(912) 348-3146
(912) 748-1507
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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