| Renew Medical Center Llc | |
|
1937 Cook St Dyersburg TN 38024-1882 | |
| (731) 478-6002 | |
| (731) 478-6234 |
| Full Name | Renew Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 1937 Cook St, Dyersburg, Tennessee |
| Authorized Official Name and Position | Breck M Beasley (PRESIDENT) |
| Authorized Official Contact | 7314786002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Medical Center Llc 1937 Cook St Dyersburg TN 38024-1882 Ph: (731) 478-6002 | Renew Medical Center Llc 1937 Cook St Dyersburg TN 38024-1882 Ph: (731) 478-6002 |
| NPI Number | 1982202750 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982202750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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