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1881723682
BETH ANN PENDERGRAPH
LAGRANGE, GA
NPI
1881723682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 0048DO)
Enumeration Date
2007-03-05
Last Update Date
2012-01-24
Business Address
Ms. BETH ANN PENDERGRAPH P.A.
1805 VERNON RD SUITE B
LAGRANGE, GA 30240-3871
Phone number: 706-884-2691
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Mailing Address
Ms. BETH ANN PENDERGRAPH P.A.
127 COVE HOLLOW RD
FORTSON, GA 31808-4353
Phone number: 678-462-1977
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