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RENEWALMD STATESBORO NPI 1952599730


NPI Information

NPI: 1952599730
Provider Name: RENEWALMD STATESBORO

Former Legal Business Name: CEPS STATESBORO

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1209 MERCHANT WAY
SUITE 301
STATESBORO, GA
ZIP 30458
Phone: (912) 920-2090
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RENEWALMD STATESBORO is a plastic surgery in Statesboro, GA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. RENEWALMD STATESBORO NPI is 1952599730. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ceps Statesboro.

The provider's business location address is:

1209 MERCHANT WAY
SUITE 301
STATESBORO, GA
ZIP 30458
Phone: (912) 920-2090
Fax: (912) 920-7921

The provider's authorized official is Barbara Keel .
The authorized official title is Patient Account Manager and has the following contact phone number (912) 920-5624.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 5/31/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery51685GEORGIAYes
2208200000XPlastic Surgery45759GEORGIANo
3208200000XPlastic Surgery48571GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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