DR. Samuel Sparrow Pendergraft, PHD, PA-C

NPI #1013492180 in North Wilkesboro, North Carolina

Provider Information

NPI Number: 1013492180
Entity Type: Individual
Name: DR. Samuel Sparrow Pendergraft, PHD, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHD, PA-C
Enumeration Date: Sep 25, 2018
Last Updated: Feb 8, 2022

Practice Location

Address: 1900 W PARK DR STE C
City: North Wilkesboro
State: North Carolina
ZIP Code: 28659-3563
Phone: (336) 903-6920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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