Doctor Name: | GEORGE VERNON PEGRAM |
NPI Number: | 1699888008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 21971 |
Business Practice Address: | 1107 14th Avenue Se Suite 320 Decatur, AL - 35601 |
Business Phone Number: | 2563517309 |
Business Fax Number: | 2563517448 |
Mailing Address: | Po Box 24116, JACKSON |
State: | MS |
Postal Code: | 392254116 |
Phone Number: | 6018257280 |
Fax Number: | 6018258130 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 21971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |