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Organization
RENEW YOU HEALTH & WELLNESS LLC
Active
Organization
RENEW YOU HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNDA KELLY MD (CEO)
(205) 514-7390
Entity
Organization
Contact information
Practice address
15 SOUTHLAKE LN STE 130, HOOVER, AL 35244-3328
(205) 774-8222
Mailing address
1849 DATA DR STE 1, HOOVER, AL 35244-1202
(205) 774-8222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
08/15/2024
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