Renaissance Primary Care and Wellness Group LLC

NPI #1609097112 in Columbia, Maryland

Provider Information

NPI Number: 1609097112
Entity Type: Organization
Organization Name: Renaissance Primary Care and Wellness Group LLC
Primary Specialty: Family Medicine
Enumeration Date: May 1, 2007
Last Updated: May 13, 2008

Practice Location

Address: 5500 KNOLL NORTH DR
Address 2: SUITE 250
City: Columbia
State: Maryland
ZIP Code: 21045-2209
Phone: (410) 772-8001

Authorized Official

Name: LINDIWE F GREENWOOD, MD
Title: OWNER PHYSICIAN
Phone: (410) 772-8001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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