person
Dr. Garland Edward Pendergraph, PHD,JD
Clinical Laboratory Director (Non-physician) in Ray City, Georgia
NPI 1851917553

Garland Edward Pendergraph is a Clinical Laboratory Director (Non-physician) based in Ray City, GA and is specialized in Clinical Laboratory Director, Non-physician. Garland Edward Pendergraph practices in Ray City, GA and has the professional credentials of PHD,JD. The NPI Number for Garland Edward Pendergraph is 1851917553 and holds a License No. 80520 (Georgia).

The current practice location address for Garland Edward Pendergraph is 1974 Old Valdosta Rd, Ray City, GA and can be reached out via phone at 229-686-7545.

Location: 1974 Old Valdosta Rd, Ray City, GA, 31645-7139
person
Provider Profile Details
NPI Number
1851917553
Provider Name
Garland Edward Pendergraph
Credential
PHD,JD
Provider Entity Type
Individual
Gender
Male
Address
1974 Old Valdosta Rd, Ray City, GA, 31645-7139
Phone Number
229-686-7545
Fax Number
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1974 Old Valdosta Rd
City
State
Zip
31645-7139
Phone Number
229-686-7545
Fax Number
person
Provider Business Mailing Address Details
Address
1974 Old Valdosta Rd
City
State
Zip
31645-7139
Phone Number
229-686-7545
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
80520 (Georgia)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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