Individual
ANGELIQUE PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
899 E BROAD ST, COLUMBUS, OH 43205-1156
(614) 396-9333
Mailing address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
03/20/2024
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