Organization
RENAISSANCE MEDICAL CENTER
Active
Other names
Renaissance Medical Care, RMC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DEBORD (OFFICE MANAGER)
(276) 285-3911
Entity
Organization
Contact information
Practice address
284 BLEVINS BLVD, BRISTOL, VA 24202-5977
(276) 285-3911
Mailing address
284 BLEVINS BLVD, BRISTOL, VA 24202-5977
(276) 285-3911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101249115
—
VA
Enumeration date
04/10/2019
Last updated
06/24/2019
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