Renaissance Health And Surgical Associates, P.C.

LBN: Renaissance Health And Surgical Associates, P.C.
Renaissance Health And Surgical Associates, P.C. is an health care organization with primary practice located at 325 S Cedar Ave Suite 2, South Pittsburg TN 37380-1305. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is the primary health care specialty. Renaissance Health And Surgical Associates, P.C. can be contacted via phone (423) 837-5801, or through Brewer, Bonnie Lynn via phone (423) 837-5801.

Contact Information

Primary practice address
325 S Cedar Ave Suite 2 South Pittsburg TN 37380-1305
Phone: (423) 837-5801
Fax: (423) 837-5807
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Bonnie Lynn
Phone: (423) 837-5801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 30628 Tennessee
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 30628 Tennessee

Profile Details

NPI number 1801941539
LBN Legal business name Renaissance Health And Surgical Associates, P.C.
DBA Doing business as Renaissance Health And Surgical Associates, P.C.
Authorized official Brewer, Bonnie Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 16th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801941539 NPPES
Alabama Other 891-08307 BCBS AL PROV #
Alabama Other 3149771 BCBS AL PROV #

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