Individual
DR. OMER CLYDE RENNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1534 APPLEY DR, MORRISTOWN, TN 37814-3305
(423) 586-1141
Mailing address
1534 APPLEY DR, MORRISTOWN, TN 37814-3305
(423) 586-1141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000003999
TN
Other
Enumeration date
03/17/2012
Last updated
03/17/2012
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