# RENEWAL HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1770133597
- **Authorized official:** MS. STACY L. PINSON FNP-C (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (865) 789-9165

## Contact information

- **Practice address:** 7035 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909
- **Practice address phone:** (865) 200-8672
- **Practice address fax:** (865) 544-1570
- **Mailing address:** 7035 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909
- **Mailing address phone:** (865) 200-8672
- **Mailing address fax:** (865) 544-1570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 12/01/2020
