Individual provider · Type 1 NPI

Beth Ann Pendergraph, P.A.

Medical Physician Assistant · Lagrange, GA

NPI number 1881723682 Active

Practice location

1805 Vernon Rd, Suite B
Lagrange, GA 30240-3871

Fax (706) 845-7314

Mailing address

127 Cove Hollow Rd
Fortson, GA 31808-4353

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0048DO (GA)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1881723682

Beth Ann Pendergraph, P.A.'s National Provider Identifier is 1881723682, issued on Mar 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lagrange, GA. The record was last updated on Jan 24, 2012.