Individual
JOHN JEFFRIES WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 N ELAM AVE FL 2, GREENSBORO, NC 27403-1157
(336) 274-1114
(336) 232-5325
Mailing address
509 N ELAM AVE FL 2, GREENSBORO, NC 27403-1157
(336) 274-1114
(336) 232-5325
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33325
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89277
BLUE CROSS CLUE SHIELD NC
NC
05
—
8989277
—
NC
Enumeration date
08/09/2005
Last updated
02/11/2011
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