Pedigo, Thomas Stephen

Pedigo, Thomas Stephen is an individual health care provider with primary practice located at 2693 Forest Hills Rd Sw Ste D , Wilson NC 27893-8611. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pedigo, Thomas Stephen can be contacted via phone (252) 234-7800.

Contact Information

Primary practice address
2693 Forest Hills Rd Sw Ste D Wilson NC 27893-8611
Phone: (252) 234-7800
Fax: (252) 234-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005188 North Carolina

Profile Details

NPI number 1851457857
LBN Legal business name Pedigo, Thomas Stephen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851457857 NPPES
North Carolina MEDICAID 6106224

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