Organization
RENEW CONSULTING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN STACY MOORE MD (OWNER)
(205) 535-0325
Entity
Organization
Contact information
Practice address
5717 BRADFORD LN, TUSCALOOSA, AL 35405-5680
(205) 535-0325
(205) 575-0683
Mailing address
5717 BRADFORD LN, TUSCALOOSA, AL 35405-5680
(205) 535-0325
(205) 575-7207
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156901
—
AL
Enumeration date
04/27/2021
Last updated
04/27/2021
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