Organization
RENEWAL DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE GUTLIPH MD (PRESIDENT)
(571) 261-2885
Entity
Organization
Contact information
Practice address
7512 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-9860
(703) 753-9863
Mailing address
7512 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-9860
(703) 753-9863
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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