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Contact Information

CHARITIN DE PENA GOMEZ, MD
601 PROFESSIONAL DR STE 220
LAWRENCEVILLE, GA30046-7649
 Phone: 770-709-6922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHARITIN DE PENA GOMEZ · (Female)

NPI # 1316571912
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2020
Last updated 01/09/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 100027
  • PR License # 21702
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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