Provider Demographics
NPI:1962680983
Name:PENCEA, VIORICA MIHAELA (MD)
Entity type:Individual
Prefix:DR
First Name:VIORICA
Middle Name:MIHAELA
Last Name:PENCEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 BRIARCLIFF RD NE STE 317S
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2636
Mailing Address - Country:US
Mailing Address - Phone:404-727-3886
Mailing Address - Fax:
Practice Address - Street 1:1256 BRIARCLIFF RD NE STE 317S
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2636
Practice Address - Country:US
Practice Address - Phone:404-727-3886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0583802084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry