Individual
NAOMI CHINEYE RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HT(ASCP) CM, CPT
Contact information
Practice address
168 N JOHNSTON ST STE 300, DALLAS, GA 30132-4741
(877) 822-2349
(877) 341-4313
Mailing address
168 N JOHNSTON ST STE 300, DALLAS, GA 30132-4741
(877) 822-2349
(877) 341-4313
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
26708
GA
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/11/2025
Last updated
11/08/2025
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