Michele Lee Pennington MD

NPI 1093793622 - Family Medicine - 207Q00000X

NPI Details
NPI 1093793622
Gender Female
Enumeration Date 01/04/2006
Last Updated 09/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
817 GRIFFIN AVE
EASTMAN GA, 31023-6718, US
Phone (478) 374-0020
Fax (478) 374-2937
Business Location
817 GRIFFIN AVE
EASTMAN GA, 31023-6718, US
Phone (478) 374-0020
Fax (478) 374-2937
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301070192
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According to our database, Dr. Michele Lee Pennington MD NPI is 1093793622, taxonomy code is 207Q00000X and license number is 4301070192, license state is located at Michigan. Michele Lee Pennington MD physically located at 817 Griffin Ave, Eastman GA, 31023-6718. NPI Number Michele Lee Pennington MD has the Individual type.

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1093793622 NPI number is provided on an as is basis without warranty of any kind. 1093793622 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Lee Pennington MD are for informational purposes only.