Individual provider · Type 1 NPI

Mark James Pendergast, DC

Chiropractor · Suwanee, GA

NPI number 1316061955 Active

Practice location

245 Peachtree Ind Blvd #100
Suwanee, GA 30022

Mailing address

10945 State Brdg Rd #401-294
Alpharetta, GA 30022

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIRO07830 (GA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1316061955

Mark James Pendergast, DC's National Provider Identifier is 1316061955, issued on Mar 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Suwanee, GA. The record was last updated on Jul 8, 2007.