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1023177862
RODERIC IVAN PETTIGREW
ATLANTA, GA
NPI
1023177862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207U00000X Nuclear Medicine
(Licence: GA 027106)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
Dr. RODERIC IVAN PETTIGREW M.D.
1364 CLIFTON RD NE DEPARTMENT OF RADIOLOGY
ATLANTA, GA 30322-1059
Phone number: 404-712-5757
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Mailing Address
Dr. RODERIC IVAN PETTIGREW M.D.
5204 W CEDAR LN
BETHESDA, MD 20814-1547
Phone number: 240-476-5899
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