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NPI 1760537484 · live from the CMS NPI Registry

Rena A Azar, MD PC FPMRS

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in South Pittsburg, TN. National Provider Identifier 1760537484, active.

NPI record

NPI1760537484 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X
Practice location325 S Cedar Ave Ste 2, South Pittsburg, TN 37380
Practice phone423-837-5801
Mailing address325 S Cedar Ave, Suite 2, South Pittsburg, TN 37380
EnumeratedJanuary 24, 2007
Last updatedAugust 16, 2021
Sole proprietorNo
Other namesRena Azar

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecology207VG0400X30628 (TN)
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery primary207VF0040XMD0000030628 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.