Provider Demographics
NPI:1417231671
Name:PENDERGRAFT, JOSHUA CHRISTOPHER (RRT,RCP)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CHRISTOPHER
Last Name:PENDERGRAFT
Suffix:
Gender:M
Credentials:RRT,RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 POCOMOKE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-8739
Mailing Address - Country:US
Mailing Address - Phone:919-495-1978
Mailing Address - Fax:
Practice Address - Street 1:699 POCOMOKE RD
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-8739
Practice Address - Country:US
Practice Address - Phone:919-495-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA4266227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered