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RENEW WELLNESS INC NPI 1053779058


NPI Information

NPI: 1053779058
Provider Name: RENEW WELLNESS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11348 TARA BLVD
STE 100
HAMPTON, GA
ZIP 30228
Phone: (678) 466-6424
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RENEW WELLNESS INC is a family medicine in Hampton, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RENEW WELLNESS INC NPI is 1053779058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11348 TARA BLVD
STE 100
HAMPTON, GA
ZIP 30228-277
Phone: (678) 466-6424
Fax: (678) 466-6464

The provider's authorized official is Stacy Petit .
The authorized official title is Owner and has the following contact phone number (678) 615-4029.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 2/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine048349GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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