Pennington, Marian Frances

Pennington, Marian Frances is an individual health care provider with primary practice located at 3011 Hampton Ave , Brunswick GA 31520-4264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Pennington, Marian Frances can be contacted via phone (912) 261-2669.

Contact Information

Primary practice address
3011 Hampton Ave Brunswick GA 31520-4264
Fax: (912) 261-0561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G84591 California

Profile Details

NPI number 1770576423
LBN Legal business name Pennington, Marian Frances
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Feb 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770576423 NPPES
Georgia MEDICAID 207936004 ALPHA SUFF

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