Individual
MADELINE ANNE RENALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-4139
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101279855
VA
2084P0800X
Psychiatry Physician
2023-02428
NC
2084P0800X
Psychiatry Physician
33004
WV
2084P0800X
Psychiatry Physician
A195156
CA
Other
Enumeration date
04/15/2019
Last updated
10/23/2024
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