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Organization
RENAISSANCE MEDICAL CENTER
Active
Organization
RENAISSANCE MEDICAL CENTER
Active
Other names
Renaissance Medical Care, RMC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DEBORD (OFFICE MANAGER)
(276) 285-3911
Entity
Organization
Contact information
Practice address
284 BLEVINS BLVD, BRISTOL, VA 24202-5977
(276) 285-3911
Mailing address
284 BLEVINS BLVD, BRISTOL, VA 24202-5977
(276) 285-3911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101249115
—
VA
Enumeration date
04/10/2019
Last updated
06/24/2019
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