Individual
MARY RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
8310 MEDICAL PLAZA DR, STE C, CHARLOTTE, NC 28262-6701
(704) 510-1300
(704) 510-1311
Mailing address
2800 SAINT LEOS ST, GREENSBORO, NC 27405-3382
(336) 621-9500
(336) 621-0980
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
02849
NC
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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