Organization
ADVANCED REGENERATIVE HEALTHCARE AND PHYSICAL MEDICINE OF BRUNSWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENFRED R. HALVERSON DC, PC (OWNER)
(912) 262-9735
Entity
Organization
Contact information
Practice address
712 MALL BLVD, BRUNSWICK, GA 31525-0539
(912) 262-9735
(912) 262-9634
Mailing address
712 MALL BLVD, BRUNSWICK, GA 31525-0539
(912) 262-9735
(912) 262-9634
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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