Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renewal Dermatology PLLC

Organization Dermatology Physician · NPI 1619263407

Renewal Dermatology PLLC is a Dermatology Physician in Gainesville, Virginia. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7512 Gardner Park Dr
Gainesville, VA 20155-3414
Phone: (703) 753-9860
Fax: (703) 753-9863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1619263407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Gutliph — President · (571) 261-2885
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 21, 2011
Mailing address7512 Gardner Park Dr, Gainesville, VA 20155-3414

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