Organization
RENEW MEDICAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANTHONY A HARDY M.D (DOCTOR)
(404) 550-3543
Entity
Organization
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(404) 550-3543
(678) 433-2074
Mailing address
838 CANNON RUN SW, MARIETTA, GA 30064-4600
(404) 550-3543
(678) 433-2074
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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