Individual
DOLLY CHANTA'E PENN
Active
Individual
DOLLY CHANTA'E PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MSCR
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
81812
GA
2083P0901X
Public Health & General Preventive Medicine Physician
D81335
MD
208D00000X
General Practice Physician
81812
GA
Other
Enumeration date
06/18/2009
Last updated
02/25/2025
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