RENEWALASC, LLC
Surgery Yellow Pages
Savannah, Georgia
Provider NPI: 1144228883
Organization Information:Organization Name: RENEWALASC, LLC
Practice Location:
900 MOHAWK ST SUITE A SAVANNAH, GA 31419 US
Tel: 912-920-2090 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
900 MOHAWK ST SUITE A SAVANNAH, GA 31419 US
Tel: 912-920-2090 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | GA | 025270 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
582173090A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin