Pendergast, Mark James
Pendergast, Mark James is an sole proprietor health care provider with primary practice located at 245 Peachtree Ind Blvd #100 , Suwanee GA 30022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pendergast, Mark James can be contacted via phone (678) 541-0777.Contact Information
Primary practice address
245 Peachtree Ind Blvd #100
Suwanee GA 30022
Phone: (678) 541-0777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIRO07830 | Georgia |
Profile Details
| NPI number | 1316061955 |
|---|---|
| LBN Legal business name | Pendergast, Mark James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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