Provider Demographics
NPI:1316580145
Name:REGENERATIVE HEALTH SOLUTIONS CHIROPRACTIC, NUTRITION, DETOXIFICATION
Entity Type:Organization
Organization Name:REGENERATIVE HEALTH SOLUTIONS CHIROPRACTIC, NUTRITION, DETOXIFICATION
Other - Org Name:FEDERAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:229-444-3127
Mailing Address - Street 1:3823 ROSWELL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6278
Mailing Address - Country:US
Mailing Address - Phone:678-383-6643
Mailing Address - Fax:877-395-6761
Practice Address - Street 1:3823 ROSWELL RD STE 202
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6278
Practice Address - Country:US
Practice Address - Phone:678-383-6643
Practice Address - Fax:877-395-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty