Organization
JACK PETTIGREW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK PETTIGREW DO (OWNER)
(731) 432-9461
Entity
Organization
Contact information
Practice address
514 W COLLEGE ST, BROWNSVILLE, TN 38012-3711
(731) 432-9461
Mailing address
PO BOX 1452, BROWNSVILLE, TN 38012-1452
(731) 432-9461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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