Organization
RENEWALASC, LLC
Active
Other names
Shanklin Plastic Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KEEL CPC, CPB, CPRC (PATIENT ACCOUNT MANAGER)
(912) 920-5624
Entity
Organization
Contact information
Practice address
900 MOHAWK ST, SUITE A, SAVANNAH, GA 31419
(912) 920-2090
(912) 920-4114
Mailing address
900 MOHAWK ST, SUITE A, SAVANNAH, GA 31419-1780
(912) 920-2090
(912) 920-4114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
025270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582173090A
—
GA
Enumeration date
07/07/2005
Last updated
05/30/2018
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