# RENAISSANCE FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1720287071
- **Authorized official:** DR. ANNA M. FISHER MD (MANAGER/OWNER)
- **Authorized official phone:** (812) 948-9500

## Contact information

- **Practice address:** 2580 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150
- **Practice address phone:** (812) 948-9500
- **Practice address fax:** (812) 948-9600
- **Mailing address:** 2580 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150
- **Mailing address phone:** (812) 948-9500
- **Mailing address fax:** (812) 948-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01036882A | IN | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 12/28/2018