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Individual

CORT A PEDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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