Organization
RENAISSANCE ORTHOPAEDIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD JOHNSON III MD (SOLE MEMBER)
(256) 768-9928
Entity
Organization
Contact information
Practice address
2201 CLOYD BLVD, FLORENCE, AL 35630-1505
(256) 768-9928
Mailing address
2201 CLOYD BLVD, FLORENCE, AL 35630-1505
(256) 768-9928
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD25810
AL
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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