JACK W PENNINGTON MD LLC

BLAIRSVILLE, GA
NPI1851561492
Entity TypeOrganization
Authorized ContactJACK W PENNINGTON
Physician/Owner
706-745-5758
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2008-03-11
Last Update Date2008-03-11
Business Address
JACK W PENNINGTON MD LLC
207 HOSPITAL CIR SUITE A
BLAIRSVILLE, GA 30512-3128
Phone number: 706-745-5758
Mailing Address
JACK W PENNINGTON MD LLC
207 HOSPITAL CIR SUITE A
BLAIRSVILLE, GA 30512-3128
Phone number: 706-745-5758