Renew Wellness INC

NPI #1053779058 in Hampton, Georgia

Provider Information

NPI Number: 1053779058
Entity Type: Organization
Organization Name: Renew Wellness INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 4, 2016
Last Updated: Feb 4, 2016

Practice Location

Address: 11348 TARA BLVD
Address 2: STE 100
City: Hampton
State: Georgia
ZIP Code: 30228-6277
Phone: (678) 466-6424

Authorized Official

Name: STACY PETIT
Title: OWNER
Phone: (678) 615-4029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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