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Individual

WILLIAM COURTENAY RENNEKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0106
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
00003468
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0366100001
GOVERNMENT SVC PTAN
AL
01
1021439080
MEDICARE PTAN
AL
05
123876
AL
01
511-10561
BLUE CROSS BS
AL
Enumeration date
06/11/2006
Last updated
04/26/2026
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