Jack G Pettigrew in Brownsville - Family Medicine

What is the unique identifier code issued to Jack G Pettigrew by the Centers for Medicare & Medicaid Services?

The Jack G Pettigrew has been assigned the NPI (National Provider Identifier) 1780798058. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jack G Pettigrew is physically located?

The Jack G Pettigrew is physically situated at the following address: 514 W College St, Brownsville, TN, 380123711.

What is Jack G Pettigrew's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jack G Pettigrew's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Jack G Pettigrew receive the assignment of its 1780798058 from the Centers for Medicare & Medicaid Services?

The Jack G Pettigrew was issued its 1780798058 by the Centers for Medicare & Medicaid Services on 2006-08-17.

As of what date were the details related to Jack G Pettigrew most recently updated or revised?

The information pertaining to Jack G Pettigrew, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-13.

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