Organization
RENEW MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRECK M BEASLEY (PRESIDENT)
(731) 478-6002
Entity
Organization
Contact information
Practice address
1937 COOK ST, DYERSBURG, TN 38024-1882
(731) 478-6002
(731) 478-6234
Mailing address
1937 COOK ST, DYERSBURG, TN 38024-1882
(731) 478-6002
(731) 478-6234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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