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SAM PENG MD PC NPI 1043442080


NPI Information

NPI: 1043442080
Provider Name: SAM PENG MD PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1622 RIVERGREEN BND SE
ATLANTA, GA
ZIP 30339
Phone: (770) 587-5485
Get Directions

SAM PENG MD PC is a geriatric medicine family medicine in Atlanta, GA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SAM PENG MD PC NPI is 1043442080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1622 RIVERGREEN BND SE
ATLANTA, GA
ZIP 30339-546
Phone: (770) 587-5485

The provider's authorized official is Sam Q Peng .
The authorized official title is Director and has the following contact phone number (770) 820-3855.

The enumeration date for this NPI number is 8/10/2009 and was last updated on 8/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine057232GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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