NPI 1043442080

Sam Peng MD PC

Organisation Geriatric Medicine (Family Medicine) Physician Atlanta, GA

Practice location

Address: 1622 Rivergreen Bnd SE, Atlanta, GA 30339-8546
Phone: (770) 587-5485

Authorised official

Name: Sam Q Peng
Title: Director
Phone: (770) 820-3855

Registered specialties

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 057232 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1043442080
Entity type: Organization
NPI issued: 10 Aug 2009
Record last updated: 10 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.