Dekisha Pendergrass Drayton
M.D. | Pediatrics | Female
Dekisha Pendergrass Drayton, M.D. is a Atlanta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Dekisha Pendergrass Drayton is also known as
Dekisha M. Pendergrass.
Current practice location of Dekisha Pendergrass Drayton is
3885 Princeton Lakes Way, Suite 302, Atlanta, Georgia - 30331. She can be contacted on phone at
404-629-1880 and fax number 404-629-1935.
Dekisha Pendergrass Drayton is a sole proprietor of her business.
NPI number (Unique professional ID) for Dekisha Pendergrass Drayton is
1306931548 which was assigned by NPPES on 04 Oct, 2006 and it was last updated on 08 Sep, 2011.
Dekisha Pendergrass Drayton license number is
053016 for Pediatrics (208000000X) in Georgia.
Dekisha Pendergrass Drayton is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dekisha Pendergrass Drayton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dekisha Pendergrass Drayton |
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| Other Name : | Dekisha M. Pendergrass |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dekisha Pendergrass Drayton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3885 Princeton Lakes Way, Suite 302
Atlanta, GA, 30331
United States |
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| Phone Number : | 404-629-1880 |
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| Fax Number : | 404-629-1935 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306931548 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2006 |
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| Last Updated On : | 08 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dekisha Pendergrass Drayton are as mentioned. Primary taxonomy code for Dekisha Pendergrass Drayton, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 053016 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dekisha Pendergrass Drayton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 118918947B | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6279 Vinings Vintage Dr
Mableton, GA, 30126-7202
United States |
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| Phone Number : | 404-394-6155 |
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Business Location:
Patients can refer following map for directions to
Dekisha Pendergrass Drayton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.