Individual
CORT A PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-8596
(919) 843-5515
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
(919) 966-8596
(919) 843-5515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0000-27880
NC
2084P0800X
Psychiatry Physician
25MA10767500
NJ
2084P0800X
Psychiatry Physician
83654
SC
2084P0800X
Psychiatry Physician
84795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8966503
—
NC
Enumeration date
10/10/2006
Last updated
03/10/2020
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