RENEW AND LIVE, LLC; NPI #1033617261

Contact Information

RENEW AND LIVE, LLC

438 GRAYSON PKWY
GRAYSON, GA 30017-1219

Phone: 404-396-4417
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diabetes Educator	163WD0400X

Indicates primary specialty

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NPI Profile & details for RENEW AND LIVE, LLC

NPI Number	`1033617261`
LBN Legal business name	RENEW AND LIVE, LLC
Authorized official	LISA GRAHAM - (OWNER/PROGRAM COORDINATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/23/2018
Last updated	01/23/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RENEW AND LIVE, LLC

Contact Information

Specialty

Diabetes Educator

NPI Profile & details for RENEW AND LIVE, LLC

Reviews for RENEW AND LIVE, LLC