Jack G Pettigrew, DO | |
514 W College St, Brownsville, TN 38012-3711 | |
(731) 432-9461 | |
(731) 772-6116 |
Full Name | Jack G Pettigrew |
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Gender | Male |
Speciality | Family Medicine |
Location | 514 W College St, Brownsville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780798058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0644 (Tennessee) | Primary |
Entity Name | Jack Pettigrew Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508369703 PECOS PAC ID: 7517221757 Enrollment ID: O20180516000215 |
Mailing Address | Practice Location Address |
---|---|
Jack G Pettigrew, DO 514 W College St, Brownsville, TN 38012-3711 Ph: (731) 432-9461 | Jack G Pettigrew, DO 514 W College St, Brownsville, TN 38012-3711 Ph: (731) 432-9461 |
Clarey R Dowling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2569 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-4411 Fax: 731-772-2664 | |
Adam P English, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2290 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-5183 | |
Jason Bryant Goolsby, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2290 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-5183 Fax: 731-772-2781 |