A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice |
| NPI # | 1568977940 |
| LBN Legal business name | RENAISSANCE MEDICAL CARE |
| Authorized official | GEORGE HALSTEAD - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/07/2017 |
| Last updated | 03/25/2019 - About 7 years ago |
| Identifiers | n/a |
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RENAISSANCE MEDICAL CARE
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