Organization
REGENERATIVE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DWYER SCOTT DC (OWNER)
(843) 286-5248
Entity
Organization
Contact information
Practice address
4016 RIVER OAKS DR STE 4, MYRTLE BEACH, SC 29579-6673
(843) 286-5248
Mailing address
PO BOX 70026, MYRTLE BEACH, SC 29572-0019
(843) 286-5248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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