# RENEW YOU HEALTH & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407530025
- **Authorized official:** SHAUNDA KELLY MD (CEO)
- **Authorized official phone:** (205) 514-7390

## Contact information

- **Practice address:** 15 SOUTHLAKE LN STE 130, HOOVER, AL 35244-3328
- **Practice address phone:** (205) 774-8222
- **Mailing address:** 1849 DATA DR STE 1, HOOVER, AL 35244-1202
- **Mailing address phone:** (205) 774-8222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 08/15/2024