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1982704896
ROBERT PENDERGRAST
AUGUSTA, GA
NPI
1982704896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 031096)
Enumeration Date
2006-09-22
Last Update Date
2012-11-30
Business Address
-- ROBERT PENDERGRAST MD
1120 15TH STREET
AUGUSTA, GA 30912
Phone number: 706-721-2191
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Mailing Address
-- ROBERT PENDERGRAST MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2650
Phone number: 706-828-6410
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