Individual provider · Type 1 NPI

W. Jefferson Pendergrast Jr., MD

Specialist · Atlanta, GA

NPI number 1376603894 Active

Practice location

2505 Flair Knoll Ct NE
Atlanta, GA 30345-1311

Call (404) 636-2332 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X015409 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376603894

W. Jefferson Pendergrast Jr., MD's National Provider Identifier is 1376603894, issued on Dec 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 14, 2011.