MEDICARE: DR. R JAMES RENFRO JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	19636	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	141011	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1457323610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. R JAMES RENFRO JR. MD

Provider Business Mailing Address
First Line	:	1321 MURFREESBORO PIKE
Second Line	:	SUITE 510
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2626
Country	:	US
Telephone Number	:	615-366-8890
Fax Number	:	615-366-3379

Provider Business Practice Location Address
First Line	:	394 HARDING PL
Second Line	:	SUITE 200
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3980
Country	:	US
Telephone Number	:	615-834-4482
Fax Number	:	615-834-4722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	06/28/2017

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