W. JEFFERSON PENDERGRAST

ATLANTA, GA
NPI1376603894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: GA  015409)
Enumeration Date2006-12-12
Last Update Date2011-04-14
Business Address
Dr. W. JEFFERSON PENDERGRAST M.D.
2505 FLAIR KNOLL CT NE
ATLANTA, GA 30345-1311
Phone number: 404-636-2332
Mailing Address
Dr. W. JEFFERSON PENDERGRAST M.D.
2505 FLAIR KNOLL CT NE
ATLANTA, GA 30345-1311
Phone number: 404-636-2332
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