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1306931548
DEKISHA PENDERGRASS DRAYTON
ATLANTA, GA
NPI
1306931548
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Former Name
DEKISHA M. PENDERGRASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 053016)
Enumeration Date
2006-10-04
Last Update Date
2011-09-08
Business Address
-- DEKISHA PENDERGRASS DRAYTON M.D.
3885 PRINCETON LAKES WAY SUITE 302
ATLANTA, GA 30331
Phone number: 404-629-1880
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Mailing Address
-- DEKISHA PENDERGRASS DRAYTON M.D.
6279 VININGS VINTAGE DR
MABLETON, GA 30126-7202
Phone number: 404-394-6155
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