Individual
DR. DAVID ROSS PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 SOUTHCREST DR STE 250, STOCKBRIDGE, GA 30281-6117
(770) 996-9945
Mailing address
860 PEACHTREE ST NE UNIT 1902, ATLANTA, GA 30308-1277
(954) 560-1177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
30815
SC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
072605
GA
Other
Enumeration date
06/26/2008
Last updated
12/25/2018
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