Renuven Aco Pllc

NPI #1568209872 in Johnson City, Tennessee

Provider Information

NPI Number: 1568209872
Entity Type: Organization
Organization Name: Renuven Aco Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 3209 BRISTOL HWY
City: Johnson City
State: Tennessee
ZIP Code: 37601-1515
Phone: (423) 926-2358

Authorized Official

Name: BERT J SMITH, MD
Title: CEO
Phone: (423) 557-5706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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