Pegram, Trey Amerson

Pegram, Trey Amerson is an sole proprietor health care provider with primary practice located at 306 Landrum Place , Clarksville TN 37043-4648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Pegram, Trey Amerson can be contacted via phone (931) 221-9544.

Contact Information

Primary practice address
306 Landrum Place Clarksville TN 37043-4648
Phone: (931) 221-9544
Fax: (931) 444-5111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD-55555 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Q2364 Texas
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X TN-55555 Tennessee

Profile Details

NPI number 1205128352
LBN Legal business name Pegram, Trey Amerson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2011
Last updated Aug 14th, 2023 - about 2 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 1205128352 NPPES
Tennessee MEDICAID Q029682

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