Individual
THUY LINH THI PENEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2012
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
77393
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
124257
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
30675
AL
Other
Enumeration date
05/07/2009
Last updated
09/22/2020
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