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Individual

GREGORY R RENCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25504
MS
2084P0800X
Psychiatry Physician
27514
WV
2084P0800X
Psychiatry Physician
35C.003153
OH
2084P0800X
Psychiatry Physician
56055
TN
2084P0800X
Psychiatry Physician
Primary
9801459
NC
2084P0800X
Psychiatry Physician
E-11057
AR
2084P0804X
Child & Adolescent Psychiatry Physician
9801459
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89132V6
NC
Enumeration date
09/01/2006
Last updated
04/27/2026
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