Mark James Pendergast, DC

NPI #1316061955 in Suwanee, Georgia

Provider Information

NPI Number: 1316061955
Entity Type: Individual
Name: Mark James Pendergast, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 245 PEACHTREE IND BLVD #100
City: Suwanee
State: Georgia
ZIP Code: 30022
Phone: (678) 541-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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