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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, M.D.

NPI Number 1083913776
LBN Legal business name JONATHON PENDERGRASS, M.D.
Authorized official JONATHON PENDERGRASS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2011
Last updated 03/21/2011 - About 15 years ago
Identifiers
AL License # 12457
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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