Organization
WEST GEORGIA REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HANIOTIS DC (AUTHORIZED OFFICIAL/PARTNER)
(762) 204-4103
Entity
Organization
Contact information
Practice address
3624 EDGEWOOD RD STE B, COLUMBUS, GA 31907
(762) 204-4103
Mailing address
3624 EDGEWOOD RD STE B, COLUMBUS, GA 31907-8238
(762) 204-4103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/26/2018
Last updated
08/07/2025
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