Organization · Type 2 NPI
Renaissance Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Bristol, TN
NPI number
1780157990
Active
Practice location
320 Bristol West Blvd Ste 1A
Bristol, TN 37620-8773
Mailing address
PO Box 9, Attn Credentialing
Kingsport, TN 37662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1780157990
Renaissance Surgery Center, LLC's National Provider Identifier is 1780157990, issued on Jan 10, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bristol, TN. The record was last updated on Mar 16, 2022.