Individual
DR. CLAY ARLEN RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 PRINCETON ROAD, JOHNSON CITY, TN 37601-2062
(423) 975-2200
(423) 975-2210
Mailing address
219 PRINCETON ROAD, JOHNSON CITY, TN 37601-2062
(423) 975-2200
(423) 975-2210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123766
—
TN
01
—
4122287
BLUE CROSS BLUE SHIELD
TN
01
—
P00294810
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
10/25/2011
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