IndividualActive
Beth Pendergraph, P.A.
NPI 1881723682 · Medical Physician Assistant · Lagrange, GA
Provider details
- NPI number
- 1881723682
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 0048DO (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1805 Vernon Rd
Suite B
Lagrange, GA 30240-3871
Phone: (706) 884-2691
Fax: (706) 845-7314
Approximate (ZIP-level) locationGet directions
Mailing address
127 Cove Hollow Rd
Fortson, GA 31808-4353
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2012-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.