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NPI Code Detail

MEDICARE: JEANETTE DOROTHY CHENG MD

MEDICARE: JEANETTE DOROTHY CHENG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician059387GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396749164
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE DOROTHY CHENG MD
Provider Business Mailing Address
First Line : 1968 PEACHTREE RD NW
Second Line : DEPARTMENT OF PATHOLOGY, 4TH FLOOR
City : ATLANTA
State : GA
Zip : 30309-1281
Country : US
Telephone Number : 404-605-3247
Fax Number : 404-605-6645
Provider Business Practice Location Address
First Line : 1968 PEACHTREE RD NW
Second Line : DEPARTMENT OF PATHOLOGY, 4TH FLOOR
City : ATLANTA
State : GA
Zip : 30309-1281
Country : US
Telephone Number : 404-605-3247
Fax Number : 404-605-6645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/24/2009

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Directions to “ JEANETTE DOROTHY CHENG MD” Practice Location

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