Pigott, Charles Gregory
Pigott, Charles Gregory is an individual health care provider with primary practice located at 4381 S Eason Blvd Suite 202, Tupelo MS 38801-6583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pigott, Charles Gregory can be contacted via phone (662) 377-6470.Contact Information
Primary practice address
4381 S Eason Blvd Suite 202
Tupelo MS 38801-6583
Phone: (662) 377-6470
Fax: (662) 377-6475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11070 | Mississippi |
Profile Details
| NPI number | 1487625703 |
|---|---|
| LBN Legal business name | Pigott, Charles Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 27th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487625703 | NPPES |
| Mississippi | MEDICAID | 00115396 |
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