Robert Pendergrast Jr.
MD | Pediatrics | Male
Robert Pendergrast Jr., MD is a Augusta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert Pendergrast Jr. is
1120 15th Street, Augusta, Georgia - 30912. He can be contacted on phone at
706-721-2191 and fax number 706-721-4920.
Robert Pendergrast Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Pendergrast Jr. is
1982704896 which was assigned by NPPES on 22 Sep, 2006 and it was last updated on 30 Nov, 2012.
Robert Pendergrast Jr. license number is
031096 for Pediatrics (208000000X) in Georgia.
Robert Pendergrast Jr. 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:
Robert Pendergrast Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Robert Pendergrast Jr. |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Robert Pendergrast Jr. 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 : | 1120 15th Street
Augusta, GA, 30912
United States |
|---|
| Phone Number : | 706-721-2191 |
|---|
| Fax Number : | 706-721-4920 |
|---|
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 : | 1982704896 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 22 Sep, 2006 |
|---|
| Last Updated On : | 30 Nov, 2012 |
|---|
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 Robert Pendergrast Jr. are as mentioned. Primary taxonomy code for Robert Pendergrast Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 031096 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Robert Pendergrast Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000732971A | MEDICAID | GA | |
| GT6567 | MEDICAID | SC | |
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 : | 1499 Walton Way, Ste 1400
Augusta, GA, 30901-2650
United States |
|---|
| Phone Number : | 706-828-6410 |
|---|
Business Location:
Patients can refer following map for directions to
Robert Pendergrast Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.