Individual
KRYSTAL ANN PENDERGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 US HIGHWAY 70 W, GOLDSBORO, NC 27530-9546
(919) 735-1400
(919) 581-0353
Mailing address
2280 US HIGHWAY 70 W, GOLDSBORO, NC 27530-9546
(919) 735-1400
(919) 581-0353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010245
NC
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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