| Joint Regeneration of Dalton | |
|
2006 Barrett Knoll Cir Nw Kennesaw GA 30152-8209 | |
| (706) 936-3361 | |
| Not Available |
| Full Name | Joint Regeneration of Dalton |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 2006 Barrett Knoll Cir Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Thuc Doan (NP-C) |
| Authorized Official Contact | 7069363361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joint Regeneration of Dalton 2006 Barrett Knoll Cir Nw Kennesaw GA 30152-8209 Ph: (706) 936-3361 | Joint Regeneration of Dalton 2006 Barrett Knoll Cir Nw Kennesaw GA 30152-8209 Ph: (706) 936-3361 |
| NPI Number | 1932885175 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932885175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | () | Primary |
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