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Individual

WILLIAM JOEL PEDIGO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2199 MEMORIAL DR, CLARKSVILLE, TN 37043-4447
(931) 245-8400
(931) 245-7068
Mailing address
PO BOX 3799, 2199 MEMORIAL DR, CLARKSVILLE, TN 37043-3799
(931) 245-8400
(931) 245-7068

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08782
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3162703
TN
Enumeration date
11/11/2005
Last updated
07/08/2007
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