# MIDDLE GEORGIA FAMILY

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

## Provider details

- **NPI number:** 1649441163
- **Authorized official:** MICHAEL J RENNER M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (478) 329-0291

## Contact information

- **Practice address:** 306 CORDER ROAD, STE 2, WARNER ROBINS, GA 31088
- **Practice address phone:** (478) 329-0291
- **Practice address fax:** (478) 329-1579
- **Mailing address:** 306 CORDER ROAD, STE 2, WARNER ROBINS, GA 31088
- **Mailing address phone:** (478) 329-0291
- **Mailing address fax:** (478) 329-1579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 038594 | GA | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008