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Individual

LINDA D PEGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
(757) 668-8658
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7007
(757) 668-8658

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101236215
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101236215
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002963700
MD
05
010061709
VA
01
0101236215
BOARD OF MEDICINE LICENSE TO PRACTICE
VA
05
8906654
NC
Enumeration date
05/25/2006
Last updated
07/25/2023
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