# RENAISSANCE PRIMARY CARE AND WELLNESS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609097112
- **Authorized official:** LINDIWE F GREENWOOD MD (OWNER PHYSICIAN)
- **Authorized official phone:** (410) 772-8001

## Contact information

- **Practice address:** 5500 KNOLL NORTH DR, SUITE 250, COLUMBIA, MD 21045-2209
- **Practice address phone:** (410) 772-8001
- **Practice address fax:** (410) 772-8004
- **Mailing address:** 5500 KNOLL NORTH DR, SUITE 250, COLUMBIA, MD 21045-2209
- **Mailing address phone:** (410) 772-8001
- **Mailing address fax:** (410) 772-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0060109 | MD | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 05/13/2008