Provider Demographics
NPI:1457323610
Name:RENFRO, R JAMES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:JAMES
Last Name:RENFRO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1321 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2626
Mailing Address - Country:US
Mailing Address - Phone:615-366-8890
Mailing Address - Fax:615-366-3379
Practice Address - Street 1:394 HARDING PL
Practice Address - Street 2:SUITE 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3980
Practice Address - Country:US
Practice Address - Phone:615-834-4482
Practice Address - Fax:615-834-4722
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2017-06-28
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Provider Licenses
StateLicense IDTaxonomies
TN19636207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3050826Medicaid
TN141011OtherBCBS
TN3050826Medicaid
TN020028431Medicare PIN
TN3050824Medicare PIN
TN0922510009Medicare PIN
TN0922510003Medicare PIN