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Individual

DR. PENELOPE S BLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6602 KNIGHTDALE BLVD STE 204, KNIGHTDALE, NC 27545-6567
(919) 782-5273
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(984) 215-4111

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9700864
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891064V
NC
Enumeration date
05/03/2006
Last updated
02/05/2025
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