| Renuven Aco Pllc | |
|
3209 Bristol Hwy Johnson City TN 37601-1515 | |
| (423) 926-2358 | |
| Not Available |
| Full Name | Renuven Aco Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3209 Bristol Hwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Bert J Smith (CEO) |
| Authorized Official Contact | 4235575706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renuven Aco Pllc 2717 E Oakland Ave Johnson City TN 37601-1843 Ph: (423) 926-2358 | Renuven Aco Pllc 3209 Bristol Hwy Johnson City TN 37601-1515 Ph: (423) 926-2358 |
| NPI Number | 1568209872 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568209872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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