Healthcare Provider Details

I. General information

NPI: 1184812778
Provider Name (Legal Business Name): HUIPING PEI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 PEACHTREE INDUSTRIAL BLVD STE 202
BERKELEY LAKE GA
30071-5736
US

IV. Provider business mailing address

655 RIPPLE WATER RUN
LILBURN GA
30047-7323
US

V. Phone/Fax

Practice location:
  • Phone: 770-454-9047
  • Fax: 770-457-6311
Mailing address:
  • Phone: 678-766-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number64051
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: