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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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