Individual
MR. NINO RENZO RENZO FORNASINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BLDG I, NORCROSS, GA 30093-3035
(770) 622-3948
(770) 622-4879
Mailing address
3985 STEVE REYNOLDS BLVD, BLDG I, NORCROSS, GA 30093-3035
(770) 622-3948
(770) 622-4879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000879755A
—
GA
Enumeration date
11/20/2006
Last updated
07/19/2021
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