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Individual

MR. GREG A PENDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1901 LAKESHORE DR S, HOMEWOOD, AL 35209-6730
(205) 871-9663
(205) 879-0879
Mailing address
2274 WHITE WAY, HOOVER, AL 35226-3126
(205) 822-8860

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
078
AL

Other

Enumeration date
02/16/2007
Last updated
07/08/2007
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