Individual
RENEE TOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6670
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92769
GA
207LP3000X
Pediatric Anesthesiology Physician
92769
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
03/06/2026
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