| Renew Consulting Services,llc | |
|
5717 Bradford Ln Tuscaloosa AL 35405-5680 | |
| (205) 535-0325 | |
| (205) 575-0683 |
| Full Name | Renew Consulting Services,llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5717 Bradford Ln, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Karen Stacy Moore (OWNER) |
| Authorized Official Contact | 2055350325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Consulting Services,llc 5717 Bradford Ln Tuscaloosa AL 35405-5680 Ph: (205) 535-0325 | Renew Consulting Services,llc 5717 Bradford Ln Tuscaloosa AL 35405-5680 Ph: (205) 535-0325 |
| NPI Number | 1265014344 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265014344 | NPI | - | NPPES |
| 156901 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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