Pedigo, Phillip A

Pedigo, Phillip A is an individual health care provider with primary practice located at 2100 Exeter Rd , Germantown TN 38138-3922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pedigo, Phillip A can be contacted via phone (901) 757-3414.

Contact Information

Primary practice address
2100 Exeter Rd Germantown TN 38138-3922
Phone: (901) 757-3414
Fax: (901) 757-3416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3269 Tennessee

Profile Details

NPI number 1952312431
LBN Legal business name Pedigo, Phillip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952312431 NPPES
Tennessee MEDICAID 1507222
Tennessee Other 4168297

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