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1184214124
KATELEEN WHALEY PENDERGRASS
DALTON, GA
NPI
1184214124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN259658)
Enumeration Date
2021-01-23
Last Update Date
2024-01-25
Business Address
KATELEEN WHALEY PENDERGRASS RN
302 POINT NORTH PL
DALTON, GA 30720-2644
Phone number: 706-272-4127
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Mailing Address
KATELEEN WHALEY PENDERGRASS RN
302 POINT NORTH PL
DALTON, GA 30720-2644
Phone number: 706-272-4127
Copy
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