Individual
DR. JUAN ARMANDO PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 JOHNSON FERRY RD STE 660, ATLANTA, GA 30342-1608
(404) 847-1580
Mailing address
980 JOHNSON FERRY RD STE 660, SANDY SPRINGS, GA 30342-1608
(404) 847-1592
(404) 303-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264972
NY
207V00000X
Obstetrics & Gynecology Physician
BP1-0026607
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
87091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3860119111
MYUTMB 3860119111-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
08/25/2021
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