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DOLLY CHANTA'E PENN MD, MSCR
NPI 1669609442
Preventive Medicine - Public Health & General Preventive Medicine in Canton, GA

Active since June 18, 2009
111 MOUNTAIN BROOK DR STE 100, CANTON, GA 30115(678) 880-9654 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 25, 2025, Oct 2, 2023, Feb 10, 2022 and 3 more (6 updates tracked since 2016).

About Dolly Chanta'e Penn Md, Mscr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOLLY CHANTA'E PENN MD, MSCR (NPI 1669609442) is an individual public health & general preventive medicine provider in Canton, Georgia, licensed in Georgia (81812) and active in the NPI registry since June 2009. She maintains a secondary practice location in Gaithersburg.

NPPES Registry Identity

NPI1669609442
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameDOLLY CHANTA'E PENNCredential: MD, MSCR
Location Address111 MOUNTAIN BROOK DR STE 100Canton, GA 30115-9045
Mailing Address6707 Democracy Blvd Suite 800Bethesda, MD 20892-5465 · (301) 496-8676
Phone(678) 880-9654
Sole ProprietorYes
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 25, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1669609442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Licenses✔ Licensed in GA · 81812✔ Licensed in MD · D81335
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 81812 (GA)
111 MOUNTAIN BROOK DR STE 100, Canton, GA 30115
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Other Names 1

Former Name (1)Dolly Penn White Md, Mscr

Secondary Practice Location 1

Location 17 Metropolitan Ct Ste 1Gaithersburg, MD 20878-4016 · Phone (240) 773-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dolly Penn's NPI number?

The NPI number for Dolly Penn is 1669609442. It was assigned to this individual provider in the NPPES registry on June 18, 2009. The provider is also known as Dolly Penn White MD, Mscr.

Where is Dolly Penn located?

Dolly Penn practices at 111 Mountain Brook Dr Ste 100, Canton, GA 30115. The listed phone number is (678) 880-9654.

What is Dolly Penn's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Dolly Penn was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.