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1104806108
DEREK PAUL PENDARVIS
GAINESVILLE, GA
NPI
1104806108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 049933)
Enumeration Date
2006-01-18
Last Update Date
2024-05-22
Business Address
DEREK PAUL PENDARVIS MD
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501-3834
Phone number: 770-536-2323
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Mailing Address
DEREK PAUL PENDARVIS MD
PO BOX 658
GAINESVILLE, GA 30503-0658
Phone number: 770-718-1122
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