Renfro, Clay Arlen

Renfro, Clay Arlen is an individual health care provider with primary practice located at 219 Princeton Road , Johnson City TN 37601-2062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Renfro, Clay Arlen can be contacted via phone (423) 975-2200.

Contact Information

Primary practice address
219 Princeton Road Johnson City TN 37601-2062
Phone: (423) 975-2200
Fax: (423) 975-2210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4340 Tennessee

Profile Details

NPI number 1477520732
LBN Legal business name Renfro, Clay Arlen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477520732 NPPES
Tennessee Other 4122287 BLUE CROSS BLUE SHIELD
Tennessee Other P00294810 BLUE CROSS BLUE SHIELD
Tennessee Other 4122287 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3123766 BLUE CROSS BLUE SHIELD

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