DR. W. Jefferson Pendergrast JR., M.D.

NPI #1376603894 in Atlanta, Georgia

Provider Information

NPI Number: 1376603894
Entity Type: Individual
Name: DR. W. Jefferson Pendergrast JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 12, 2006
Last Updated: Apr 14, 2011

Practice Location

Address: 2505 FLAIR KNOLL CT NE
City: Atlanta
State: Georgia
ZIP Code: 30345-1311
Phone: (404) 636-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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