Total Regenerative Solutions
Podiatrist in Virginia Beach, VA. Organization (NPI-2).
NPI number1295317618
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1295317618
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Regenerative Solutions
- Organization subpart
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 20, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
2101 Parks Ave Ste 700Virginia Beach, VA 23451-4160
Phone 818-424-4270
Mailing address
2101 Parks Ave Ste 700Virginia Beach, VA 23451-4160
Phone 818-424-4270
Authorized official
Tonya Gilliam
Director Of Billing And Compliance
9726326877
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