Organization
RENUE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM MITCHELL MD (MANAGER)
(912) 280-9977
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 604, BRUNSWICK, GA 31520-4265
(912) 280-9977
(912) 280-9995
Mailing address
2500 STARLING ST, SUITE 604, BRUNSWICK, GA 31520-4265
(912) 280-9977
(912) 280-9995
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
063-383
GA
Other
Enumeration date
11/04/2008
Last updated
10/28/2020
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