Regenerative Health 360 LLC
Clinic/Center in Spartanburg, SC. Organization (NPI-2).
NPI number1649802497
StatusActive
Last updated in NPPESOct 8, 2021
Details
- NPI
- 1649802497
- Entity type
- Organization (NPI-2)
- Legal business name
- Regenerative Health 360 LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Oct 8, 2021
- Last updated
- Oct 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Regenerative Health 360 (Doing Business As)
Practice location
1650 Skylyn Dr Ste 420Spartanburg, SC 29307-1086
Phone 864-208-9138 · Fax 864-308-8325
Mailing address
1650 Skylyn Dr Ste 420Spartanburg, SC 29307-1047
Phone 864-464-7985
Other practice locations
429 Roper Mountain Rd Ste 150
Greenville, SC 29615-4265
Greenville, SC 29615-4265
Phone 864-351-2211 · Fax 864-351-2230
Authorized official
Cheryl Rivers
Cfo
8646067764
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