Organization
RENEWAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA ANNE GOBER (CEO)
(770) 719-9900
Entity
Organization
Contact information
Practice address
1831 5TH AVE, SUITE 200, COLUMBUS, GA 31904-8915
(706) 320-8766
(706) 320-8786
Mailing address
377 FAYETTE PL, FAYETTEVILLE, GA 30214-1653
(770) 719-9900
(770) 716-7616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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