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Individual

TERRY FENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4328
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4328

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
026264
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00307733E
GA
05
00307733G
GA
01
4505242
AETNA PROV ID
GA
01
728915
BCBS PIN NUMBER
GA
Enumeration date
12/15/2006
Last updated
07/08/2007
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