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Organization

SAM PENG MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM Q PENG M.D. (DIRECTOR)
(770) 820-3855
Entity
Organization

Contact information

Practice address
1622 RIVERGREEN BND SE, ATLANTA, GA 30339-8546
(770) 587-5485
Mailing address
1622 RIVERGREEN BND SE, ATLANTA, GA 30339-8546
(770) 587-5485

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
057232
GA

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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