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NPI Code Detail

MEDICARE: TOTAL REGENERATIVE SOLUTIONS

MEDICARE: TOTAL REGENERATIVE SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist

General Provider Information

NPI Number : 1295317618
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL REGENERATIVE SOLUTIONS
Provider Business Mailing Address
First Line : 2101 PARKS AVE STE 700
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-4160
Country : US
Telephone Number : 818-424-4270
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PARKS AVE STE 700
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-4160
Country : US
Telephone Number : 818-424-4270
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING AND COMPLIANCE
Name : TONYA GILLIAM
Credential :
Telephone Number : 972-632-6877
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “TOTAL REGENERATIVE SOLUTIONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.