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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY M FORMAN BLITZER, MD

Active

PENNY M FORMAN BLITZER, MD is a Pediatrics healthcare provider located in SUWANEE, Georgia. NPI 1083664288 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SUWANEE, GA

Registration Details

NPI Number
1083664288
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2006 (20.286336755902 yrs)
Last Updated
Jul 8, 2007
License
0050077 (GA)

Practice Information

Address
4310 JOHNS CREEK PKWY
SUITE 150
SUWANEE, GA, 300246091
Browse GA providers · Browse ZIP 30024
Phone
7704764020
Fax
7704761674
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in SUWANEE, GA

Name Credential NPI
DR. EFFIE S DOLORES M.D. 1396736815
DR. KAREN B. DEWLING MD 1194780031
TANDUA O WASHINGTON M.D. 1811935117
PANYAVEE KHAN MD 1376581231
KAREN CARROLL MD 1912945882
ANSLEY YELLEN FELDMAN MD 1124036157
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.