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NPI Code Detail

MEDICARE: ELIZABETH LESLIE RENJILIAN MD

MEDICARE: ELIZABETH LESLIE RENJILIAN 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
1390200000XStudent in an Organized Health Care Education/Training ProgramRTL26-0508NC

General Provider Information

NPI Number : 1659214286
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LESLIE RENJILIAN MD
Provider Business Mailing Address
First Line : 123 HENDERSONVILLE RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2868
Country : US
Telephone Number : 828-257-4730
Fax Number : 828-232-2942
Provider Business Practice Location Address
First Line : 123 HENDERSONVILLE RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2868
Country : US
Telephone Number : 828-257-4730
Fax Number : 828-232-2942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 06/08/2026

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