Organization Name: | RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. |
NPI Number: | 1801941539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENA A AZAR (PHYSICIAN) |
Mailing Address: | 325 S Cedar Ave Suite 2 South Pittsburg |
State: | TN US |
Postal Code: | 373801305 |
Phone Number: | 4238375801 |
Fax Number: | 4238375807 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 30628 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |