National Provider Identifier Database

RENUE PLASTIC SURGERY LLC
Plastic and Reconstructive Surgery


Contact Information

RENUE PLASTIC SURGERY, LLC
2500 STARLING ST
SUITE 603
BRUNSWICK, GA31520-4265
Phone: 912-280-9977
Fax: 912-280-9995
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for RENUE PLASTIC SURGERY, LLC

NPI Number 1881609543
Legal business name
LBN
RENUE PLASTIC SURGERY, LLC
Authorized official CHARLES MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 10/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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