Individual
CORNELL PENDLETOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6455 HICKORY RIDGE RD, SPOTSYLVANIA, VA 22551-2456
(540) 379-7204
Mailing address
6455 HICKORY RIDGE RD, SPOTSYLVANIA, VA 22551-2456
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T63451175
VA
Other
Enumeration date
08/13/2017
Last updated
04/12/2026
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