Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Other names
REGENESIS HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON HUNTER (CEO)
(864) 594-0190
Entity
Organization
Contact information
Practice address
945 E MAIN ST STE A, SPARTANBURG, SC 29302-2119
(864) 582-2411
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 582-2411
(864) 582-7178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194710426
NPI
—
Enumeration date
12/05/2022
Last updated
01/03/2025
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