Individual
LANDON PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
871 RIDGEWAY LOOP RD STE 200, MEMPHIS, TN 38120-4007
(901) 821-9990
(901) 521-9991
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046506
—
TN
Enumeration date
07/08/2005
Last updated
04/22/2025
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