SearchGeorgia171M00000X

Suzanne Pengelly

NPI 1639560840 · on the registry since 2015 · sole proprietor

Practice

Address
106 Southshore Pass
Dallas, GA 30157
Phone
(678) 403-2952

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2015-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia