Provider Demographics
NPI:1215503529
Name:ADVANCED REGENERATIVE THERAPY
Entity type:Organization
Organization Name:ADVANCED REGENERATIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-662-0437
Mailing Address - Street 1:617 STEPHENSON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5893
Mailing Address - Country:US
Mailing Address - Phone:912-662-0437
Mailing Address - Fax:
Practice Address - Street 1:617 STEPHENSON AVE STE 103
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5893
Practice Address - Country:US
Practice Address - Phone:912-662-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty