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Regenesisdoc LLC

Multi-Specialty Clinic/Center in Tucker, GA · enumerated 2017 · authorized official Eric Mabo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275047938

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Registry record

Entity type Organization (Type 2)
Legal business name Regenesisdoc LLC
Practice address 2892 Mountain Industrial Blvd, Tucker, GA, 30084
Phone (678) 825-5757
Enumeration date Nov 16, 2017
Last updated in NPPES Nov 16, 2017

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Eric Mabo
Title Owner
Phone (678) 825-5757

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Regenesisdoc LLC located?
The practice location on file with NPPES is in Tucker, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-11-16. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-11-16.