person
Samuel Hunter Renfro, MD
Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia
NPI 1568991594

Samuel Hunter Renfro is a Student in an Organized Health Care Education/Training Program based in Portsmouth, VA. Samuel Hunter Renfro practices in Portsmouth, VA and has the professional credentials of MD. The NPI Number for Samuel Hunter Renfro is 1568991594 and holds a License No. 0101265141 (Virginia).

The current practice location address for Samuel Hunter Renfro is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 904-487-2529.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
person
Provider Profile Details
NPI Number
1568991594
Provider Name
Samuel Hunter Renfro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Phone Number
904-487-2529
Fax Number
Provider Enumeration Date
06/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
904-487-2529
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
904-487-2529
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0101265141 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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