Individual
DR. BENJAMIN DWIGHT RENELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 STONEBRIDGE BLVD FL 2, DOUGLASVILLE, GA 30134-2244
(943) 202-7120
Mailing address
8901 STONEBRIDGE BLVD FL 2, DOUGLASVILLE, GA 30134-2244
(943) 202-7120
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
76667
GA
207RG0100X
Gastroenterology Physician
D0092002
MD
Other
Enumeration date
05/08/2013
Last updated
07/12/2023
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