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Contact Information

JONATHON PENDERGRASS, M.D.
6801 AIRPORT BLVD
WCC/HBO
MOBILE, AL36608-3709
 Phone: 251-631-3534
 Fax: 251-631-3531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JONATHON PENDERGRASS MD · (Female)

NPI # 1083913776
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2011
Last updated 03/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 12457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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