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1780157990
RENAISSANCE SURGERY CENTER, LLC
BRISTOL, TN
NPI
1780157990
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Entity Type
Organization
Authorized Contact
RANDALL SERMONS
Owner
423-857-2028
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2019-01-10
Last Update Date
2022-03-16
Business Address
RENAISSANCE SURGERY CENTER, LLC
320 BRISTOL WEST BLVD STE 1A
BRISTOL, TN 37620-8773
Phone number: 423-844-1399
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Mailing Address
RENAISSANCE SURGERY CENTER, LLC
PO BOX 9 ATTN CREDENTIALING
KINGSPORT, TN 37662
Phone number: 423-857-2066
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