Individual
DAVID EDWARD RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1375F
BCBSNC
NC
05
—
89-1375F
—
NC
05
—
N0058A
—
SC
01
—
P00401482
RR MEDICARE
NC
01
—
P00411589
RR MEDICARE
NC
Enumeration date
07/13/2006
Last updated
12/14/2018
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