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Individual

DR. WILLIAM HENDRICKS RENDER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
970 MARTIN LUTHER KING JR DR SW, SUITE 305, ATLANTA, GA 30314-2962
(404) 524-1721
Mailing address
5025 JACKSON BROOK PL NW, LILBURN, GA 30047-4968
(770) 935-4675

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027898
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00350391A
GA
Enumeration date
06/17/2006
Last updated
07/08/2007
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