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PAUL-ROBERT DERENONCOURT MD

Individual Provider (NPI-1) Active

Radiology, Diagnostic Radiology

Provider Information

NPI Number
1942850078
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1120 15TH ST, AUGUSTA, GA, 309121016
Phone
(706) 721-8623

Specialties & Taxonomies

Nuclear Medicine License: GA #96592
Radiology, Diagnostic Radiology Primary License: GA #96592

All Addresses

LOCATION

1120 15TH ST

AUGUSTA, GA, 309121016

(706) 721-8623

MAILING

1013 WESLEYAN CIR

EVANS, GA, 308090227

(314) 760-4443