Individual
RENEE J RENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3685 LAWRENCEVILLE HWY, SUITE 100, LAWRENCEVILLE, GA 30044-4107
(770) 921-7386
(770) 381-6013
Mailing address
3685 LAWRENCEVILLE HWY, SUITE 100, LAWRENCEVILLE, GA 30044-4107
(770) 921-7386
(770) 381-6013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825921A
—
GA
05
—
00825921B
—
GA
Enumeration date
08/23/2006
Last updated
07/09/2007
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