Individual
DR. MICHAEL PHILLIP PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3651 WHEELER RD DEPT OF, AUGUSTA, GA 30909-6521
(706) 651-3232
Mailing address
948 NAPIERS POST DR, EVANS, GA 30809-6428
(717) 926-1759
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84420
GA
207L00000X
Anesthesiology Physician
OS017860
PA
Other
Enumeration date
05/30/2014
Last updated
05/05/2022
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