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

Renewal Dermatology & Medspa, PC

Organization Dermatology Physician · NPI 1619232469

Renewal Dermatology & Medspa, PC is a Dermatology Physician in Gainesville, Virginia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7512 Gardner Park Dr
Gainesville, VA 20155-3414
Phone: (703) 753-9860
Fax: (703) 753-9863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1619232469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Maggio — President · (703) 753-9860
NPI enumeratedJuly 9, 2012
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address7512 Gardner Park Dr, Gainesville, VA 20155-3414

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