Dr LESLIE PENDERGRASS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
PHYSICAL EXPRESS
4412 HOGAN RD
DEATSVILLE
AL
360223400
Tel: 3345434851
| Npi | 1639541857 |
| Pac Id | 1456661974 |
| Professional Enrollment Id | I20151112000584 |
| Last Name | PENDERGRASS |
| First Name | LESLIE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PHYSICAL EXPRESS |
| Group Practice Pac Id | 3476531039 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 4412 HOGAN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DEATSVILLE |
| State | AL |
| Zip Code | 360223400 |
| Phone Number | 3345434851 |
| Hospital Affiliation Ccn 1 | 010108 |
| Hospital Affiliation Lbn 1 | PRATTVILLE BAPTIST HOSPITAL |
| Hospital Affiliation Ccn 2 | 010097 |
| Hospital Affiliation Lbn 2 | ELMORE COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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