person
Derek Paul Pendarvis, MD
Surgery Physician in Gainesville, Georgia
NPI 1104806108

Derek Paul Pendarvis is a Surgery Physician based in Gainesville, GA. Derek Paul Pendarvis practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Derek Paul Pendarvis is 1104806108 and holds a License No. 049933 (Georgia).

The current practice location address for Derek Paul Pendarvis is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-536-2323 and via fax at 770-536-4947. You can also correspond with Derek Paul Pendarvis through the mailing address at PO BOX 658, GAINESVILLE, GA - 30503-0658 (mailing address contact number: 770-718-1122).

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
person
Provider Profile Details
NPI Number
1104806108
Provider Name
Derek Paul Pendarvis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-536-2323
Fax Number
770-536-4947
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52843776 01 GA BCBS
000904274A 05 GA
341106 01 GA WELLCARE
1700231 01 GA UNITED HEALTHCARE
000904274B 05 GA
20050660 01 GA RR MEDICARE-GRP # CC4177
10045029 01 GA AMERIGROUP
7816063 01 GA CIGNA
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-536-2323
Fax Number
770-536-4947
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-536-2323
Fax Number
770-536-4947
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
049933 (Georgia)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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