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Individual

DR. GEORGE P PENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,PH.D.

Contact information

Practice address
2704 N OAK ST, VALDOSTA, GA 31602-1744
(229) 247-2122
(229) 247-4314
Mailing address
2704 N OAK ST, VALDOSTA, GA 31602-1795
(229) 247-2122
(229) 247-4314

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
031814
GA

Other

Enumeration date
07/19/2005
Last updated
07/08/2007
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