| NPI | 1598271306 |
|---|---|
| Doing Business As | RENAISSANCE FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | KIELI ASHTON FORBES Credentialing Specialist 336-663-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |