| NPI | 1063987501 |
|---|---|
| Doing Business As | RENEWED LIFESTYLES INC |
| Entity Type | Organization |
| Authorized Contact | DAVID TERRY Physcian 865-271-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |