Individual
DR. LARUE D PENNY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 OLD MILTON PKWY, SUITE 330/BLDG A, ALPHARETTA, GA 30005-3707
(770) 751-6111
Mailing address
916 RAVENWOOD WAY, CANTON, GA 30115-6421
(770) 664-2406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049718
GA
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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