Individual
LAWANDA D PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 N GUIGNARD DR, SUMTER, SC 29150-1519
(803) 775-2677
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-2677
(864) 962-0758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
06/30/2011
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