# E. EARL PENNINGTON, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760813034
- **Authorized official:** DR. EDWARD EARL PENNINGTON MD (PHYSICIAN/MANAGER)
- **Authorized official phone:** (678) 954-8538

## Contact information

- **Practice address:** 3890 JOHNS CREEK PKWY, SUITE 360, SUWANEE, GA 30024-1284
- **Practice address phone:** (678) 954-8538
- **Practice address fax:** (770) 244-9204
- **Mailing address:** 3890 JOHNS CREEK PKWY, SUITE 360, SUWANEE, GA 30024-1284
- **Mailing address phone:** (678) 954-8538
- **Mailing address fax:** (770) 244-9204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 015299 | GA | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013