Provider Demographics
NPI:1528831138
Name:ADVANCED REGENERATIVE MEDICINE
Entity type:Organization
Organization Name:ADVANCED REGENERATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN BINSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:678-926-3834
Mailing Address - Street 1:4889 GOLDEN PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5878
Mailing Address - Country:US
Mailing Address - Phone:678-926-3834
Mailing Address - Fax:706-993-3286
Practice Address - Street 1:4889 GOLDEN PKWY STE 110
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5878
Practice Address - Country:US
Practice Address - Phone:678-926-3834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251E00000XAgenciesHome Health