Provider Demographics
NPI:1699302901
Name:SULLENDER, RENEE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:
Last Name:SULLENDER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 WATERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9078
Mailing Address - Country:US
Mailing Address - Phone:984-215-3050
Mailing Address - Fax:984-215-3050
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:984-215-3050
Practice Address - Fax:984-215-3517
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPTL4316207V00000X
390200000X
NC2024-01221207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program