RENEW AND LIVE LLC NPI 1033617261

NPI Information

  • NPI: 1033617261
  • Provider Name: RENEW AND LIVE, LLC
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Organization
  • Address: 438 GRAYSON PKWY
    GRAYSON, GA
    ZIP 30017
  • Phone: (404) 396-4417

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NPI Details

RENEW AND LIVE, LLC is a diabetes educator registered nurse in Grayson, GA. RENEW AND LIVE, LLC NPI is 1033617261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

438 GRAYSON PKWY
GRAYSON, GA
ZIP 30017-219
Phone: (404) 396-4417

The provider's authorized official is Lisa Rochelle Graham .
The authorized official title is Owner/program Coordinator and has the following contact phone number (404) 396-4417.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.

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
1163WD0400XRegistered NurseDiabetes EducatorYes

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: 3/30/2025

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