Pettigrew, Roderic Ivan
Pettigrew, Roderic Ivan is an individual health care provider with primary practice located at 1364 Clifton Rd Ne Department Of Radiology, Atlanta GA 30322-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Pettigrew, Roderic Ivan can be contacted via phone (404) 712-5757.Contact Information
Primary practice address
1364 Clifton Rd Ne Department Of Radiology
Atlanta GA 30322-1059
Phone: (404) 712-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 027106 | Georgia |
Profile Details
| NPI number | 1023177862 |
|---|---|
| LBN Legal business name | Pettigrew, Roderic Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 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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