Dr. Rena A Azar
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
325 S Cedar Ave Ste 2
South Pittsburg
, Tennessee 37380-1322
Dr. Rena A Azar
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
325 S Cedar Ave Ste 2
South Pittsburg
, Tennessee 37380-1322
(423) 837-5807
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Rena A Azar
- 325 S Cedar Ave Suite 2
- South Pittsburg, TN
- Zip : 37380-1305
- Fax : (423) 837-5807
- Phone : (423) 837-5801
Second Address
- Dr. Rena A Azar
- 325 S Cedar Ave Ste 2
- South Pittsburg, TN
- Zip : 37380-1322
- Fax : (423) 837-5807
- Phone : (423) 837-5801
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD0000030628 | TN |
| N | 207VG0400X | Gynecologist | 30628 | TN |
National Provider Identifier
| NPI | 1760537484 |
|---|---|
| Provider Name | Dr. Rena A Azar |
| First Address | South Pittsburg, TN 37380-1305 |
| Second Address | South Pittsburg, TN 37380-1322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 16/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3149771 | BCBS TN PROV # (01) | TN |
| 62-1818059 | TAX ID (01) | TN |
| 891-08307 | BCBS AL PROV # (01) | AL |
| G62913 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.