Advanced Regenerative Healthcare and Physical Medicine of Brunswick
Organization Active NPI Multi-Specialty Clinic/Center · Brunswick, GA
NPI 1649709262 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1649709262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANCED REGENERATIVE HEALTHCARE AND PHYSICAL MEDICINE OF BRUNSWICK
- Practice address
- 712 Mall Blvd
Brunswick, GA 31525-0539 - Phone
- (912) 262-9735
- Fax
- (912) 262-9634
- NPI assigned
- Jun 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Renfred R. Halverson, DC, PC
- Title
- Owner
- Phone
- (912) 262-9735
National Provider Directory
Locations
712 Mall Blvd
Brunswick, GA 31525
Phone (912) 262-9735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
712 Mall Blvd
Brunswick, GA 31525-0539
Mailing address
712 Mall Blvd
Brunswick, GA 31525-0539
Phone (912) 262-9735
Other providers in Brunswick, GA
- Brian D Adcock
- Monica Richardson Ademola
- Jolie Adkins
- Advance Rehabilitation & Consulting Limited Partnership
- Advanced Hearing & Balance Center
- Affordable Dentures & Implants of Georgia III, LLC
- Agape Compassionate Care
- Aftab Ahmad
- Ahmed Elsharkawi MD LLC
- Ahmed Elsharkawi, MD LLC
All providers in Brunswick, GA · Multi-Specialty Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.