| Renewed Vitality & Age Management, Pllc | |
|
13141 Eppes Falls Rd Chesterfield VA 23838-1261 | |
| (804) 412-8384 | |
| Not Available |
| Full Name | Renewed Vitality & Age Management, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13141 Eppes Falls Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | Lawrence R Palmiter (OWNER) |
| Authorized Official Contact | 8044128343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Vitality & Age Management, Pllc 13141 Eppes Falls Rd Chesterfield VA 23838-1261 Ph: (804) 412-8384 | Renewed Vitality & Age Management, Pllc 13141 Eppes Falls Rd Chesterfield VA 23838-1261 Ph: (804) 412-8384 |
| NPI Number | 1972086247 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972086247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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