Organization
SOUTHERN PULMONARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY W CHENG M.D. (OWNER)
(770) 473-1993
Entity
Organization
Contact information
Practice address
34 UPPER RIVERDALE RD SE STE 206, RIVERDALE, GA 30274-2635
(770) 473-1993
(770) 471-3224
Mailing address
34 UPPER RIVERDALE RD SE STE 206, RIVERDALE, GA 30274-2635
(770) 473-1993
(770) 471-3224
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462624D
—
GA
Enumeration date
04/10/2007
Last updated
08/22/2020
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