Renew and Live, LLC

NPI #1033617261 in Grayson, Georgia

Provider Information

NPI Number
1033617261
Entity Type
Organization
Organization Name
Renew and Live, LLC
Primary Specialty
Registered Nurse - Diabetes Educator
Enumeration Date
Jan 23, 2018
Last Updated
Jan 23, 2018

Practice Location

Address
438 GRAYSON PKWY
State
Georgia
ZIP Code
30017-1219
Phone
(404) 396-4417

Authorized Official

Name
MRS. LISA ROCHELLE GRAHAM, RN, BSN, CDE
Title
OWNER/PROGRAM COORDINATOR
Phone
(404) 396-4417

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Diabetes EducatorDiabetes Educator

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