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ELIZABETH L PENN MD PC NPI 1427303015


NPI Information

NPI: 1427303015
Provider Name: ELIZABETH L PENN MD PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
16741 GA HIGHWAY 67
STE F
STATESBORO, GA
ZIP 30458
Phone: (912) 871-5437
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ELIZABETH L PENN MD PC is a pediatrics in Statesboro, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ELIZABETH L PENN MD PC NPI is 1427303015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16741 GA HIGHWAY 67
STE F
STATESBORO, GA
ZIP 30458-528
Phone: (912) 871-5437
Fax: (912) 681-6551

The provider's authorized official is Elizabeth L Penn .
The authorized official title is Owner and has the following contact phone number (912) 871-5437.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 7/19/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics067374GEORGIAYes

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: 5/5/2024

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