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Renovus Medical Spa
Point of Service in Gray, Tennessee
NPI 1134408214

Renovus Medical Spa is a Point of Service based in Gray, TN. Renovus Medical Spa practices in Gray, TN. The NPI Number for Renovus Medical Spa is 1134408214 and holds a License No. 17509 (Tennessee).

The current practice location address for Renovus Medical Spa is 405 Roy Martin Rd, Gray, TN and can be reached out via phone at 423-207-0154.

Location: 405 Roy Martin Rd, Gray, TN, 37615-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134408214
Provider Name
Renovus Medical Spa
Credential
Provider Entity Type
Organization
Address
405 Roy Martin Rd, Gray, TN, 37615-2551
Phone Number
423-207-0154
Fax Number
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 Roy Martin Rd
City
Gray
State
Tennessee
Zip
37615-2551
Phone Number
423-207-0154
Fax Number
person
Provider Business Mailing Address Details
Address
405 Roy Martin Rd
City
Gray
State
Tennessee
Zip
37615-2551
Phone Number
423-207-0154
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
17509 (Tennessee)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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