Individual
DR. MARK JACOB PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
325 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
(615) 239-0907
Mailing address
325 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
(615) 239-0907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2587
TN
Other
Enumeration date
03/30/2013
Last updated
10/19/2015
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