NPI age
3 years
Enumerated 2022-11-08
● Active Type 2 · Organization
Renaissance Reconstruction Llc
Renaissance Reconstruction Llc is 1 of 284 plastic surgery organizations in Georgia.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Castro
Administrator
Last NPPES update
2022-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 284 active plastic surgery providers in Georgia.
NPI age
3 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
3379 Osborne Pl
MacOn, GA 312041901
Mailing address
Po Box 27435
MacOn, GA 312217435
Authorized official
Lisa Castro
Administrator
📞 4786214213
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Amanda Peacock, CSFA Specialist/Technologist, Other NPI 1740732924
Specialties
-
Plastic Surgery PrimaryA 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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