Individual provider · Type 1 NPI
Jeffrey Carl Pence, MD
Pediatric Surgery Physician · Marietta, GA
NPI number
1629063722
Active
Practice location
175 White St NW Ste 200
Marietta, GA 30060-7901
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice locations
- 3333 W Tech Rd, Miamisburg, OH 45342-0955 · (937) 641-4000
- 1 Childrens Plz, Dayton, OH 45404-1815 · (937) 641-4000
- 4348 Electric Rd, Roanoke, VA 24018-0720 · (540) 769-0976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 9500178 (NC) |
| Pediatric Surgery Physician | 2086S0120X | 35.092404 (OH) |
| Pediatric Surgery Physician | 2086S0120X | 0101277715 (VA) |
| Pediatric Surgery Physician Primary | 2086S0120X | 2086S0120X (GA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3 other providers at this address
Other pediatric surgery physician providers in Marietta
About NPI 1629063722
Jeffrey Carl Pence, MD's National Provider Identifier is 1629063722, issued on Sep 14, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Marietta, GA. The record was last updated on Jul 25, 2025.