| Renuven Aco Pllc | |
|
3209 Bristol Hwy Johnson City TN 37601-1515 | |
| (423) 926-2358 | |
| Not Available |
| Full Name | Renuven Aco Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3209 Bristol Hwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Bert J Smith (CEO) |
| Authorized Official Contact | 4235575706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renuven Aco Pllc 2717 E Oakland Ave Johnson City TN 37601-1843 Ph: (423) 926-2358 | Renuven Aco Pllc 3209 Bristol Hwy Johnson City TN 37601-1515 Ph: (423) 926-2358 |
| NPI Number | 1568209872 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 1850820374 |
|---|---|
| Medicare Enrollment ID | O20250129001866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568209872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura G Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629400064 PECOS PAC ID: 8921242025 Enrollment ID: I20130911000286 |
Mcc, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Watauga Ave, Johnson City, TN 37601 Phone: 423-722-8446 Fax: 423-722-5674 | |
Medical Education Assistance Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 | |
Wyche & Wyche, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Susannah St, Johnson City, TN 37601 Phone: 423-282-2542 Fax: 423-282-5447 | |
Imperial Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lamons Ln Ste 230, Johnson City, TN 37604 Phone: 423-930-5168 Fax: 423-328-0193 | |
New Life Chiropractic And Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-4101 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N State Of Franklin Rd, Ste 301a, Johnson City, TN 37604 Phone: 423-431-6816 Fax: 423-431-2983 | |
State Of Franklin Healthcare Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2528 Wesley St, Suite 2, Johnson City, TN 37601 Phone: 423-794-2430 Fax: 423-283-9719 |