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Organization

PENCO PARTNERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA COPENNY MITCHELL (AUTHORIZED OFFICAL)
(678) 346-8300
Entity
Organization

Contact information

Practice address
5 GRESHAM LNDG STE C, STOCKBRIDGE, GA 30281-6541
(800) 779-3730
(800) 470-3730
Mailing address
5 GRESHAM LNDG, STOCKBRIDGE, GA 30281-6341
(800) 779-3730
(800) 470-3730

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/01/2021
Last updated
04/10/2025
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