DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK G PETTIGREW, DO

Active Sole Proprietor

JACK G PETTIGREW, DO is a Family Medicine healthcare provider located in BROWNSVILLE, Tennessee. NPI 1780798058 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BROWNSVILLE, TN

Registration Details

NPI Number
1780798058
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2006 (19.98780741028 yrs)
Last Updated
Oct 13, 2020
License
D0644 (TN)
Sole Proprietor
Yes

Practice Information

Address
514 W COLLEGE ST
BROWNSVILLE, TN, 380123711
Browse TN providers · Browse ZIP 38012
Phone
7314329461
Fax
7317726116
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BROWNSVILLE, TN

Name Credential NPI
ADAM P ENGLISH D.O. 1689628406
CLAREY R DOWLING MD 1669405700
JASON BRYANT GOOLSBY DO 1801925938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.