Individual
LAURA PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1222 TROTWOOD AVE STE 108, COLUMBIA, TN 38401-6404
(931) 380-4066
(931) 380-4069
Mailing address
1222 TROTWOOD AVE STE 108, COLUMBIA, TN 38401-6404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000067909
TN
208000000X
Pediatrics Physician
MD0000067909
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/08/2023
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