Dr. Roderic Ivan Pettigrew
Nuclear Medicine Specialist
1364 Clifton Rd Ne Department Of Radiology
Atlanta
, Georgia 30322-1059
Dr. Roderic Ivan Pettigrew
Nuclear Medicine Specialist
1364 Clifton Rd Ne Department Of Radiology
Atlanta
, Georgia 30322-1059
(240) 476-5899
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Roderic Ivan Pettigrew
- 5204 W Cedar Ln
- Bethesda, MD
- Zip : 20814-1547
- Phone : (240) 476-5899
Second Address
- Dr. Roderic Ivan Pettigrew
- 1364 Clifton Rd Ne Department Of Radiology
- Atlanta, GA
- Zip : 30322-1059
- Phone : (404) 712-5757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 027106 | GA |
National Provider Identifier
| NPI | 1023177862 |
|---|---|
| Provider Name | Dr. Roderic Ivan Pettigrew |
| First Address | Bethesda, MD 20814-1547 |
| Second Address | Atlanta, GA 30322-1059 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.