person
Dr. W. Jefferson Pendergrast JR., MD
Specialist in Atlanta, Georgia
NPI 1376603894

W. Jefferson Pendergrast JR. is a Specialist based in Atlanta, GA. W. Jefferson Pendergrast JR. practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for W. Jefferson Pendergrast JR. is 1376603894 and holds a License No. 015409 (Georgia).

The current practice location address for W. Jefferson Pendergrast JR. is 2505 Flair Knoll Ct Ne, Atlanta, GA and can be reached out via phone at 404-636-2332.

Location: 2505 Flair Knoll Ct Ne, Atlanta, GA, 30345-1311
person
Provider Profile Details
NPI Number
1376603894
Provider Name
W. Jefferson Pendergrast JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2505 Flair Knoll Ct Ne, Atlanta, GA, 30345-1311
Phone Number
404-636-2332
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2505 Flair Knoll Ct Ne
City
State
Zip
30345-1311
Phone Number
404-636-2332
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Flair Knoll Ct Ne
City
State
Zip
30345-1311
Phone Number
404-636-2332
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
015409 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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