Organization
TARA DERMATOLOGY CENTER PC
Active
Other names
Vincent T Peng MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PENG (PHYSICIAN)
(770) 991-1000
Entity
Organization
Contact information
Practice address
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 991-1000
Mailing address
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 991-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
GA
Other
Enumeration date
03/26/2007
Last updated
03/26/2013
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