Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOLLY CHANTA'E PENN, MD, MSCR
Active Sole ProprietorDOLLY CHANTA'E PENN, MD, MSCR is a Public Health & General Preventive Medicine healthcare provider located in CANTON, Georgia. NPI 1669609442 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · CANTON, GA
Registration Details
- NPI Number
- 1669609442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2009 (17.200953701096 yrs)
- Last Updated
- Feb 25, 2025
- Licenses
-
81812 (GA)D81335 (MD)81812 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 MOUNTAIN BROOK DR STE 100CANTON, GA, 301159045Browse GA providers · Browse ZIP 30115
- Phone
- 6788809654
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
- Additional Specialty
- Public Health & General Preventive Medicine
- Additional Specialty
- Public Health & General Preventive Medicine
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.