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Individual

DR. DON WILLIAM PENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
753 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4312
(770) 995-5333
(770) 682-5322
Mailing address
753 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4312
(770) 995-5333
(770) 682-5322

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036-079341
IL
207T00000X
Neurological Surgery Physician
Primary
037331
GA
207T00000X
Neurological Surgery Physician
042-0009379
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00567762A
GA
01
1285704429
MEDICARE NPI
GA
Enumeration date
11/08/2006
Last updated
07/21/2010
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