Organization
REGENERATIVE MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN OLUBUNMI IFARINDE MD (DIRECTOR)
(770) 285-7879
Entity
Organization
Contact information
Practice address
4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
(770) 285-7879
Mailing address
4707 ASHFORD DUNWOODY RD UNIT 468628, ATLANTA, GA 31146-0117
(770) 285-7879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/13/2020
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