# TOTAL RENAISSANCE WELLNESS

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

## Provider details

- **NPI number:** 1619470556
- **Authorized official:** DR. LINDIWE FIARRA GREENWOOD M.D. (CEO)
- **Authorized official phone:** (443) 718-9223

## Contact information

- **Practice address:** 8926 BALTIMORE ST, SAVAGE, MD 20763-7549
- **Practice address phone:** (443) 718-9223
- **Mailing address:** PO BOX 363, SAVAGE, MD 20763-0363
- **Mailing address phone:** (443) 718-9223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/16/2018