Organization · Type 2 NPI

Skin Renaissance

Clinic/Center · Chesapeake, VA

NPI number 1962952275 Active

Practice location

312 Cedar Lakes Dr, Suite 103
Chesapeake, VA 23322-8374

Call (757) 410-2833 Map

Fax (757) 819-7591

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0024170014 (VA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1962952275

Skin Renaissance's National Provider Identifier is 1962952275, issued on Oct 11, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 11, 2016.