IndividualActive
Jeffrey Pence, MD
NPI 1629063722 · Pediatric Surgery Physician · Marietta, GA
Provider details
- NPI number
- 1629063722
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9500178 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
175 White St Nw Ste 200
Marietta, GA 30060-7901
Phone: (943) 202-7820
Approximate (ZIP-level) locationGet directions
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Additional practice locations (3)
- 1 Childrens PlzDayton, OH 45404-1815Phone: (937) 641-4000Fax: (937) 641-4500
- 3333 W Tech RdMiamisburg, OH 45342-0955Phone: (937) 641-4000Fax: (937) 641-4500
- 4348 Electric RdRoanoke, VA 24018-0720Phone: (540) 769-0976Fax: (540) 857-5383
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.