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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIRO07830 (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.