Organization
RESURGENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE SPRINGER (CREDENTIALING MANAGER)
(404) 531-8615
Entity
Organization
Contact information
Practice address
1336 HIGHWAY 54 W STE B, FAYETTEVILLE, GA 30214-4573
(000) 000-0000
Mailing address
1336 HIGHWAY 54 W, BLDG. 400, STE B, FAYETTEVILLE, GA 30214-4573
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
01/31/2023
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