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1841221769
SAM QINGSHUANG PENG
MARIETTA, GA
NPI
1841221769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 057232)
Enumeration Date
2006-07-06
Last Update Date
2021-02-20
Business Address
SAM QINGSHUANG PENG M.D.
72 PLAZA WAY NW STE 121
MARIETTA, GA 30060-1104
Phone number: 770-795-8070
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Mailing Address
SAM QINGSHUANG PENG M.D.
72 PLAZA WAY NW
MARIETTA, GA 30060-1104
Phone number: 770-795-8070
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