Individual
ROBERT PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8060 WOLF RIVER BLVD, MEMPHIS, TN 38138-1727
(901) 271-1000
(901) 271-2161
Mailing address
8060 WOLF RIVER BLVD, MEMPHIS, TN 38138-1727
(901) 271-1000
(901) 271-2161
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000006057
TN
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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