Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK PAUL PENDARVIS, MD
ActiveGeneral Surgery · GAINESVILLE, GA
Registration Details
- NPI Number
- 1104806108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.257346154984 yrs)
- Last Updated
- May 22, 2024
- License
-
049933 (GA)
Practice Information
- Address
-
725 JESSE JEWELL PKWY SEGAINESVILLE, GA, 305013834Browse GA providers · Browse ZIP 30501
- Phone
- 7705362323
- Fax
- 7705364947
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| RONALD C LEWIS | MD | 1669475265 |
| PRISCILLA RUTH STROM | MD | 1861495491 |
| BRADLEY ROBERT AUFFARTH | MD | 1972506590 |
| PIERPONT F BROWN III | MD | 1730182346 |
| CASEY J GRAYBEAL | MD | 1841293453 |
| JAMES A. BUTTS JR. | MD | 1164401360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.