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Contact Information

RENEW AND LIVE, LLC
438 GRAYSON PKWY
GRAYSON, GA30017-1219
 Phone: 404-396-4417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for RENEW AND LIVE LLC · (Female)

NPI Number 1033617261
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2018
Last updated 01/23/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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