MARK JAMES PENDERGAST

SUWANEE, GA
NPI1316061955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIRO07830)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- MARK JAMES PENDERGAST DC
245 PEACHTREE IND BLVD #100
SUWANEE, GA 30022
Phone number: 678-541-0777
Mailing Address
-- MARK JAMES PENDERGAST DC
10945 STATE BRDG RD #401-294
ALPHARETTA, GA 30022
Phone number: 678-541-0777