Individual
MS. GINA JERNIGAN RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-MS,CCC-SLP
Contact information
Practice address
110 MOURNING DOVE LN, GOLDSBORO, NC 27534-9529
(919) 344-4742
(919) 778-5878
Mailing address
110 MOURNING DOVE LN, GOLDSBORO, NC 27534-9529
(919) 344-4742
(919) 778-5878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7471267
—
NC
Enumeration date
10/12/2006
Last updated
07/09/2007
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