Organization
RENEW HEALTH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHARONDA LEE (OWNER)
(770) 822-3031
Entity
Organization
Contact information
Practice address
1550 JANMAR RD STE B, SNELLVILLE, GA 30078-5779
(770) 822-3031
(770) 822-3032
Mailing address
1550 JANMAR RD STE B, SNELLVILLE, GA 30078-5779
(770) 822-3031
(770) 822-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
GA
207R00000X
Internal Medicine Physician
Primary
—
GA
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
07/26/2016
Last updated
01/31/2024
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