Individual
MICHAELA ELAINE RENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1926 COTTON GROVE RD, LEXINGTON, NC 27292-5722
(336) 242-1228
(336) 242-1393
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 242-1228
(336) 242-1393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-01460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891187G
—
NC
Enumeration date
06/30/2006
Last updated
03/06/2025
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