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Contact Information

RENEWAL DERMATOLOGY PLLC
7512 GARDNER PARK DR
GAINESVILLE, VA20155-3414
 Phone: 703-753-9860
 Fax: 703-753-9863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for RENEWAL DERMATOLOGY PLLC

NPI # 1619263407
LBN Legal business name RENEWAL DERMATOLOGY PLLC
Authorized official JOANNE GUTLIPH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2011
Last updated 06/21/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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