Vincent T Peng, MD | |
191 Medical Boulevard, Stockbridge, GA 30281 | |
(770) 991-1000 | |
(770) 991-2088 |
Full Name | Vincent T Peng |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 191 Medical Boulevard, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245302165 | NPI | - | NPPES |
1245302165 | Other | GA | BCBSGA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 014652 (Georgia) | Primary |
Entity Name | Tara Dermatology Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699892380 PECOS PAC ID: 1153302757 Enrollment ID: O20040528000638 |
Mailing Address | Practice Location Address |
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Vincent T Peng, MD 191 Medical Blvd, Stockbridge, GA 30281 Ph: (770) 991-1000 | Vincent T Peng, MD 191 Medical Boulevard, Stockbridge, GA 30281 Ph: (770) 991-1000 |
Christopher Earl Gene Golden, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 Village Ctr Pkwy, Stockbridge, GA 30281 Phone: 770-474-5952 Fax: 770-474-1300 | |
Dr. Wallace Ramsey Nozile, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Eagles Walk, Stockbridge, GA 30281 Phone: 770-251-5111 | |
Dr. Terry Lynn Sharpe, M.D., P.C. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Walter Way Unit 98, Stockbridge, GA 30281 Phone: 770-507-8481 Fax: 770-507-5358 | |
Dr. Brenda Maria Morales-pico, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Pkwy, Stockbridge, GA 30281 Phone: 770-474-5952 Fax: 770-474-1300 |