Individual
DR. ALLEN E PENDARVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1064 GARDNER RD STE 112, CHARLESTON, SC 29407-5768
(843) 723-3441
(843) 805-4040
Mailing address
1064 GARDNER RD STE 112, CHARLESTON, SC 29407-5768
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326962
—
SC
Enumeration date
06/14/2010
Last updated
05/05/2024
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