Individual
JORGE ISAAC PENA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(404) 778-7777
Mailing address
3737 PEACOCK AVE APT 521, MIAMI, FL 33146-2868
(314) 250-5394
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
82533
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2015
Last updated
06/11/2019
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