Fornasini, Nino Renzo Renzo
Fornasini, Nino Renzo Renzo is an individual health care provider with primary practice located at 3985 Steve Reynolds Blvd Bldg I, Norcross GA 30093-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fornasini, Nino Renzo Renzo can be contacted via phone (770) 622-3948.Contact Information
Primary practice address
3985 Steve Reynolds Blvd Bldg I
Norcross GA 30093-3035
Phone: (770) 622-3948
Fax: (770) 622-4879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48628 | Georgia |
Profile Details
| NPI number | 1063586170 |
|---|---|
| LBN Legal business name | Fornasini, Nino Renzo Renzo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063586170 | NPPES |
| Georgia | MEDICAID | 000879755A |
Popular Providers
-
Parikh, Yashaswini
6010 Singleton Rd Ste 209, Norcross GA 30093 -
Kaur, Sarvpreet
4608 Jimmy Carter Blvd Ste 7 , Norcross GA 30093-3758 -
Fatema, Tayaba
4775 Jimmy Carter Blvd Ste 101, Norcross GA 30093 -
Ho, Raymond Chihta
5696 Peachtree Pkwy Ste K1 , Norcross GA 30092-2835 -
Selva, Dennis A
3780 Holcomb Bridge Rd Suite C, Norcross GA 30092-4855 -
Momin, Kamela
1235 Indian Trail Rd Ste 100 , Norcross GA 30093-4502 -
Gibbons, Kathleen K
6131 S Norcross Tucker Rd Ste 700, Norcross GA 30093-5536 -
Stetler, Harrison Crawford
3957 Holcomb Bridge Rd Suite 100, Norcross GA 30092-2207