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Organization

ELIZABETH L PENN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH L PENN MD (OWNER)
(912) 871-5437
Entity
Organization

Contact information

Practice address
16741 GA HIGHWAY 67, STE F, STATESBORO, GA 30458-2528
(912) 871-5437
(912) 681-6551
Mailing address
16741 GA HIGHWAY 67, STE F, STATESBORO, GA 30458-2528
(912) 871-5437
(912) 681-6551

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
067374
GA

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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