JASON ALLEN PENDERGRASS

DALTON, GA
NPI1578929774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN199787)
Enumeration Date2016-01-05
Last Update Date2016-02-29
Business Address
-- JASON ALLEN PENDERGRASS FNP
1200 MEMORIAL DR
DALTON, GA 30720-2529
Phone number: 706-272-6000
Mailing Address
-- JASON ALLEN PENDERGRASS FNP
1200 MEMORIAL DR
DALTON, GA 30720-2529
Phone number: 706-272-6000
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