# RENEW HEALTH AND PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alexander Spine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265830426
- **Authorized official:** DR. DANIEL ALEXANDER (PRESIDENT)
- **Authorized official phone:** (678) 297-0901

## Contact information

- **Practice address:** 11705 JONES BRIDGE RD, SUITE D101, JOHNS CREEK, GA 30005-5078
- **Practice address phone:** (678) 297-0901
- **Practice address fax:** (678) 297-0903
- **Mailing address:** 11705 JONES BRIDGE RD, SUITE D101, JOHNS CREEK, GA 30005-5078
- **Mailing address phone:** (678) 297-0901
- **Mailing address fax:** (678) 297-0903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2014
- **Last updated:** 12/31/2014