Dolly Chanta'e Penn, MD, MSCR

NPI #1669609442 in Canton, Georgia

Provider Information

NPI Number: 1669609442
Entity Type: Individual
Name: Dolly Chanta'e Penn, MD, MSCR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD, MSCR
Enumeration Date: Jun 18, 2009
Last Updated: Feb 25, 2025

Practice Location

Address: 111 MOUNTAIN BROOK DR STE 100
City: Canton
State: Georgia
ZIP Code: 30115-9045
Phone: (678) 880-9654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X

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