Individual
RENAE NINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-4724
Mailing address
4806 BLYTH CT, ATLANTA, GA 30338
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
076
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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