# RENATUS PROFESSIONAL ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811398944
- **Authorized official:** DR. RICHARD NATHANIEL DONLON M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (901) 267-9821

## Contact information

- **Practice address:** 3960 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-3035
- **Practice address phone:** (901) 267-9821
- **Mailing address:** 716 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4504
- **Mailing address phone:** (901) 267-9821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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