Individual
RENJU THOMAS JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD, STE 2700, SPARTANBURG, SC 29303
(864) 583-0053
(864) 583-0390
Mailing address
1330 BOILING SPRINGS RD, STE 2700, SPARTANBURG, SC 29303
(864) 583-0053
(864) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200600352
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27788
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571049338
BCBS
SC
Enumeration date
07/14/2006
Last updated
06/07/2011
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