Individual
JANICE RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1995 KEITH ST NW, CLEVELAND, TN 37311-4380
(423) 472-2273
(423) 472-8059
Mailing address
1995 KEITH ST NW, CLEVELAND, TN 37311-4380
(423) 472-2273
(423) 472-8059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000202
TN
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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