Individual
BARRY MITCHELL RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 HOSPITAL SOUTH DR STE 202, AUSTELL, GA 30106
(470) 644-0125
(470) 644-0120
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30195
GA
2086S0102X
Surgical Critical Care Physician
30195
GA
2086S0127X
Trauma Surgery Physician
Primary
30195
GA
Other
Enumeration date
01/11/2007
Last updated
10/31/2019
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