Healthcare Provider Details

I. General information

NPI: 1023918802
Provider Name (Legal Business Name): EMILY GAIL RENZI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2026
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 W MAIN ST
DOTHAN AL
36301-1309
US

IV. Provider business mailing address

1347 W MAIN ST
DOTHAN AL
36301-1309
US

V. Phone/Fax

Practice location:
  • Phone: 334-446-5381
  • Fax:
Mailing address:
  • Phone: 334-446-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2979
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: