Individual
SAM QINGSHUANG PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 PLAZA WAY NW STE 121, MARIETTA, GA 30060-1104
(770) 795-8070
(770) 795-8078
Mailing address
72 PLAZA WAY NW, MARIETTA, GA 30060-1104
(770) 795-8070
(770) 795-8078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057232
GA
Other
Enumeration date
07/06/2006
Last updated
02/20/2021
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