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Organization
RENATUS PROFESSIONAL ASSOCIATION
Active
Organization
RENATUS PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD NATHANIEL DONLON M.D. (CHIEF EXECUTIVE OFFICER)
(901) 267-9821
Entity
Organization
Contact information
Practice address
3960 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-3035
(901) 267-9821
Mailing address
716 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4504
(901) 267-9821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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