Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regenesisdoc LLC

Organization Multi-Specialty Clinic/Center · NPI 1275047938

Regenesisdoc LLC is a Multi-Specialty Clinic/Center in Tucker, Georgia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2892 Mountain Industrial Blvd
Tucker, GA 30084-3014
Phone: (678) 825-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1275047938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Mabo — Owner · (678) 825-5757
NPI enumeratedNovember 16, 2017
Last updated in NPPESNovember 16, 2017
Mailing address2892 Mountain Industrial Blvd, Tucker, GA 30084-3014

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