Renaissance Medical Care

NPI #1568977940 in Bristol, Virginia

Provider Information

NPI Number: 1568977940
Entity Type: Organization
Organization Name: Renaissance Medical Care
Primary Specialty: General Practice
Enumeration Date: Dec 7, 2017
Last Updated: Mar 25, 2019

Practice Location

Address: 284 BLEVINS BOULEVARD
City: Bristol
State: Virginia
ZIP Code: 24202
Phone: (276) 285-3911

Authorized Official

Name: GEORGE OLIVER HALSTEAD, M.D.
Title: PRESIDENT
Phone: (276) 285-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
General Practice	208D00000X	Primary

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