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1396743514
RENAISSANCE SURGICAL CENTRE, LLC
MACON, GA
NPI
1396743514
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Entity Type
Organization
Authorized Contact
ROY POWELL
Medical Director
478-474-2200
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2005-07-12
Last Update Date
2020-08-22
Business Address
RENAISSANCE SURGICAL CENTRE, LLC
4030 RIVERSIDE PARK BLVD
MACON, GA 31210-1365
Phone number: 478-474-2200
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Mailing Address
RENAISSANCE SURGICAL CENTRE, LLC
4030 RIVERSIDE PARK BLVD
MACON, GA 31210-1365
Phone number: 478-474-2200
Copy
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