OrganizationActive
Sam Peng MD PC
NPI 1043442080 · Geriatric Medicine (Family Medicine) Physician · Atlanta, GA
Provider details
- NPI number
- 1043442080
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sam Peng, Director(770) 820-3855
- License
- 057232 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1622 Rivergreen Bnd Se
Atlanta, GA 30339-8546
Phone: (770) 587-5485
Approximate (ZIP-level) locationGet directions
Mailing address
1622 Rivergreen Bnd Se
Atlanta, GA 30339-8546
Registry dates
- Enumerated
- 2009-08-10
- Last updated
- 2009-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.