Individual
JULIO ERNESTO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 CADUCEUS WAY, BLDG 400, SUITE 104, WATKINSVILLE, GA 30677-7300
(706) 850-8135
(706) 548-9101
Mailing address
1360 CADUCEUS WAY, BLDG 400, SUITE 104, WATKINSVILLE, GA 30677-7300
(706) 850-8135
(706) 548-9101
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
75119
GA
Other
Enumeration date
07/22/2011
Last updated
07/18/2016
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