Pegram, George Vernon

Pegram, George Vernon is an individual health care provider with primary practice located at 304 Wright St , Sweetwater TN 37874-1181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pegram, George Vernon can be contacted via phone (865) 213-8401.

Contact Information

Primary practice address
304 Wright St Sweetwater TN 37874-1181
Phone: (865) 213-8401
Fax: (865) 213-8596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21971 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD55106 Tennessee

Profile Details

NPI number 1699888008
LBN Legal business name Pegram, George Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 22nd, 2018 - about 8 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 1699888008 NPPES
Tennessee Other 6087267 BLUE CROSS BLUE SHIELD
Tennessee Other 51046869 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 009918220 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID Q026242 BLUE CROSS BLUE SHIELD

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