Individual
PAUL F PENN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3433 MAIN ST, B, COLLEGE PARK, GA 30337-1911
(404) 766-0676
Mailing address
PO BOX 1219, PALMETTO, GA 30268-7219
(404) 766-0676
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CHIR002655
GA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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