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Individual

MRS. BRITTANY WHEELER RENFROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2000 10TH AVE, SUITE 320, COLUMBUS, GA 31901-3700
(706) 660-2932
(706) 660-2935
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-2932
(706) 660-2935

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006168
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003112155A
GA
Enumeration date
07/22/2011
Last updated
05/23/2013
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