Organization
CONYERS REGENERATIVE AND JOINT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WRIGHT (MANAGING MEMBER)
(706) 248-8456
Entity
Organization
Contact information
Practice address
1741 HOG MOUNTAIN RD BLDG 200, WATKINSVILLE, GA 30677-1947
(706) 614-0828
Mailing address
1171 LAUREL POINTE, WATKINSVILLE, GA 30677-7559
(706) 248-8456
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
01/21/2021
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