OrganizationActive
Advanced Regenerative Healthcare and Physical Medicine of Brunswick
NPI 1649709262 · Multi-Specialty Clinic/Center · Brunswick, GA
Provider details
- NPI number
- 1649709262
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Renfred Halverson, Owner
Practice location
712 Mall Blvd
Brunswick, GA 31525-0539
Phone: (912) 262-9735
Fax: (912) 262-9634
Mailing address
712 Mall Blvd
Brunswick, GA 31525-0539
Registry dates
- Enumerated
- 2017-06-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.