NPI 1760813034

E. Earl Pennington, MD, LLC

Organisation Colon & Rectal Surgery Physician Suwanee, GA

Practice location

Address: 3890 Johns Creek Pkwy Suite 360, Suwanee, GA 30024-1284
Phone: (678) 954-8538
Fax: (770) 244-9204

Authorised official

Name: Edward Earl Pennington
Title: Physician/Manager
Phone: (678) 954-8538

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 015299 (GA)

Other Colon & Rectal Surgery providers in Georgia →

Registry record

NPI: 1760813034
Entity type: Organization
NPI issued: 11 Dec 2013
Record last updated: 11 Dec 2013

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.