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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK JAMES PENDERGAST, DC

Active Sole Proprietor

MARK JAMES PENDERGAST, DC is a Chiropractor healthcare provider located in SUWANEE, Georgia. NPI 1316061955 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · SUWANEE, GA

Registration Details

NPI Number
1316061955
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2007 (19.407239310708 yrs)
Last Updated
Jul 8, 2007
License
CHIRO07830 (GA)
Sole Proprietor
Yes

Practice Information

Address
245 PEACHTREE IND BLVD #100
SUWANEE, GA, 30022
Browse GA providers · Browse ZIP 30022
Phone
6785410777
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in SUWANEE, GA

Name Credential NPI
DR. GREG KYUHEE CHOI D.C. 1295708030
MS. LAURA LYNN RUSSO D.C. 1124072038
DR. RICHARD A. DIETZ D.C. 1447280896
MR. MICHAEL PATRICK ANDERSON D.C. 1639192610
ALAN MICHAEL GILENSON D.C. 1164529897
DR. DAVID MORRIS RICHARDSON D.C. 1679661359
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.