Individual
VERA SUSAN PENDERGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(941) 209-2002
Mailing address
211 KENNETT RD, OLD HICKORY, TN 37138-2114
(941) 209-2002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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