Individual
PHILLIP A PEDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 EXETER RD, GERMANTOWN, TN 38138-3922
(901) 757-3414
(901) 757-3416
Mailing address
2100 EXETER RD, GERMANTOWN, TN 38138-3922
(901) 757-3414
(901) 757-3416
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507222
—
TN
01
—
4168297
BCBS TN
TN
Enumeration date
08/10/2006
Last updated
05/12/2009
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