Individual
ANDREW L. PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-5697
Mailing address
4750 WATERS AVE STE 103, SAVANNAH, GA 31404-6267
(912) 350-5646
(912) 350-5697
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
067429
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122073B
—
GA
05
—
003122073C
—
GA
05
—
GA1313
—
SC
01
—
P01059892
RAILROAD MEDICARE
GA
Enumeration date
03/27/2006
Last updated
01/04/2022
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