Renaissance Reconstruction LLC

NPI #1215645379 in Macon, Georgia

Provider Information

NPI Number
1215645379
Entity Type
Organization
Organization Name
Renaissance Reconstruction LLC
Primary Specialty
Plastic Surgery
Enumeration Date
Nov 8, 2022
Last Updated
Nov 8, 2022

Practice Location

Address
3379 OSBORNE PL
City
Macon
State
Georgia
ZIP Code
31204-1901
Phone
(478) 474-2200

Authorized Official

Name
LISA CASTRO
Title
ADMINISTRATOR
Phone
(478) 621-4213

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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