Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Reconstruction LLC

Organization Plastic Surgery Physician · NPI 1215645379

Renaissance Reconstruction LLC is a Plastic Surgery Physician in Macon, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3379 Osborne Pl
Macon, GA 31204-1901
Phone: (478) 474-2200
Fax: (478) 314-0740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1215645379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Castro — Administrator · (478) 621-4213
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing addressPo Box 27435, Macon, GA 31221-7435

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