Individual
MARIAN FRANCES PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3011 HAMPTON AVE, BRUNSWICK, GA 31520-4264
(912) 261-2669
(912) 261-0561
Mailing address
3011 HAMPTON AVE, BRUNSWICK, GA 31520-4264
(912) 261-2669
(912) 261-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G84591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207936004 ALPHA SUFF
—
GA
Enumeration date
08/29/2005
Last updated
02/26/2009
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