Healthcare Provider Details

I. General information

NPI: 1720289713
Provider Name (Legal Business Name): RENEW HEALTH & WELLNESS LLC DBA WORKWISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 4TH AVE S
BIRMINGHAM AL
35233-2521
US

IV. Provider business mailing address

PO BOX 531148
BIRMINGHAM AL
35253-1148
US

V. Phone/Fax

Practice location:
  • Phone: 205-263-5800
  • Fax: 205-263-5850
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberNA
License Number State

VIII. Authorized Official

Name: MARY HOLDEN
Title or Position: PRESIDENT
Credential:
Phone: 205-263-5800