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Contact Information

ALEXANDRA PENDERGRASS
136 WHEELERTOWN AVE
PIKEVILLE, TN37367
 Phone: 423-447-3524
 Fax: 423-447-3621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALEXANDRA PENDERGRASS · (Female)

NPI Number 1942671342
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2015
Last updated 09/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 2852
Hospital affiliation(s)
  • ERLANGER MEDICAL CENTER - (Acute Care)
    975 E 3RD ST
    CHATTANOOGA, TN 37403
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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