Renew Medical Center LLC

NPI #1982202750 in Dyersburg, Tennessee

Provider Information

NPI Number
1982202750
Entity Type
Organization
Organization Name
Renew Medical Center LLC
Primary Specialty
General Practice
Enumeration Date
Oct 14, 2020
Last Updated
Oct 14, 2020

Practice Location

Address
1937 COOK ST
ZIP Code
38024-1882
Phone
(731) 478-6002

Authorized Official

Name
BRECK M BEASLEY
Title
PRESIDENT
Phone
(731) 478-6002

Specialties & Taxonomy Codes

Specialty
General Practice

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