Renaissance Medical Center

NPI #1649733387 in Bristol, Virginia

Provider Information

NPI Number: 1649733387
Entity Type: Organization
Organization Name: Renaissance Medical Center
Primary Specialty: General Practice
Enumeration Date: Apr 10, 2019
Last Updated: Jun 24, 2019

Practice Location

Address: 284 BLEVINS BLVD
City: Bristol
State: Virginia
ZIP Code: 24202-5977
Phone: (276) 285-3911

Authorized Official

Name: LINDA DEBORD
Title: OFFICE MANAGER
Phone: (276) 285-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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