Individual
THOMAS E RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 FRONT ST W, COEBURN, VA 24230-3607
(276) 395-2389
(276) 395-6634
Mailing address
515 FRONT ST W, COEBURN, VA 24230-3607
(276) 395-2389
(276) 395-6634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101039754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497726376
—
VA
05
—
6466581300
—
KY
Enumeration date
01/30/2006
Last updated
02/22/2017
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