| Renew Medical Management | |
|
78 Opal St Cartersville GA 30120-2848 | |
| (404) 550-3543 | |
| (678) 433-2074 |
| Full Name | Renew Medical Management |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 78 Opal St, Cartersville, Georgia |
| Authorized Official Name and Position | Leanthony A Hardy (DOCTOR) |
| Authorized Official Contact | 4045503543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Medical Management 838 Cannon Run Sw Marietta GA 30064-4600 Ph: (404) 550-3543 | Renew Medical Management 78 Opal St Cartersville GA 30120-2848 Ph: (404) 550-3543 |
| NPI Number | 1912516980 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912516980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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