Renovus Medical Spa

NPI #1134408214 in Gray, Tennessee

Provider Information

NPI Number
1134408214
Entity Type
Organization
Organization Name
Renovus Medical Spa
Primary Specialty
Point of Service
Enumeration Date
Aug 8, 2011
Last Updated
Aug 8, 2011

Practice Location

Address
405 ROY MARTIN RD
Address 2
STE 104
City
Gray
ZIP Code
37615-2551
Phone
(423) 207-0154

Authorized Official

Name
KATHY BEARD
Title
OWNER
Phone
(423) 207-0154

Specialties & Taxonomy Codes

Specialty
Point of Service

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