Search › Georgia › Surgery Physician
Derek Pendarvis, MD
NPI 1104806108 · on the registry since 2006
Practice
- Address
- 725 Jesse Jewell Pkwy Se
Gainesville, GA 30501 - Phone
- (770) 536-2323
- Fax
- (770) 536-4947
- Organisation at this address
- The Longstreet Clinic Pc
The Longstreet Clinic, Pc
The Longstreet Clinic, Pc
Northeast Georgia Community Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Additional practice sites
- 1270 Friendship Rd, Braselton, GA
- 743 Spring St Ne, Gainesville, GA
- 1400 River Pl, Braselton, GA
- 1945 Beverly Rd, Gainesville, GA
- 495 Highway 400, Dahlonega, GA
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia