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Organization

RENEWAL , INC

Active
Other names
second to nature women's boutique
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARLA A GOBER (CEO)
(706) 774-4155
Entity
Organization

Contact information

Practice address
818 SAINT SEBASTIAN WAY, STE 205, AUGUSTA, GA 30901-2651
(706) 774-4155
(706) 774-4150
Mailing address
818 SAINT SEBASTIAN WAY, STE 205, AUGUSTA, GA 30901-2651
(706) 774-4155
(706) 774-4150

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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