E. Earl Pennington, Md, Llc

LBN: E. Earl Pennington, Md, Llc
E. Earl Pennington, Md, Llc is an health care organization with primary practice located at 3890 Johns Creek Pkwy Suite 360, Suwanee GA 30024-1284. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. E. Earl Pennington, Md, Llc can be contacted via phone (678) 954-8538, or through Pennington, Edward Earl via phone (678) 954-8538.

Contact Information

Primary practice address
3890 Johns Creek Pkwy Suite 360 Suwanee GA 30024-1284
Phone: (678) 954-8538
Fax: (770) 244-9204
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Edward Earl Doctor of Medicine (MD)
Phone: (678) 954-8538

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 015299 Georgia

Profile Details

NPI number 1760813034
LBN Legal business name E. Earl Pennington, Md, Llc
DBA Doing business as
Authorized official Pennington, Edward Earl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2013
Last updated Dec 11th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760813034 NPPES
Georgia MEDICAID 00098084B

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