Renewal Dermatology Pllc

LBN: Renewal Dermatology Pllc
Renewal Dermatology Pllc is an health care organization with primary practice located at 7512 Gardner Park Dr , Gainesville VA 20155-3414. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Renewal Dermatology Pllc can be contacted via phone (703) 753-9860, or through Gutliph, Joanne via phone (571) 261-2885.

Contact Information

Primary practice address
7512 Gardner Park Dr Gainesville VA 20155-3414
Phone: (703) 753-9860
Fax: (703) 753-9863
Website:
Map and Directions
Authorized official contact:
Name: Gutliph, Joanne Doctor of Medicine (MD)
Phone: (571) 261-2885

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1619263407
LBN Legal business name Renewal Dermatology Pllc
DBA Doing business as
Authorized official Gutliph, Joanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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