Tara K Pedigo
MD | Pediatrics | Female
Tara K Pedigo, MD is a Augusta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tara K Pedigo is
1120 15th St, Augusta, Georgia - 30912. She can be contacted on phone at
706-721-8623 and fax number 706-721-1459.
Tara K Pedigo is a sole proprietor of her business.
NPI number (Unique professional ID) for Tara K Pedigo is
1689669699 which was assigned by NPPES on 15 Sep, 2005 and it was last updated on 05 Nov, 2018.
Tara K Pedigo license number is
38825 for Pediatrics (208000000X) in Tennessee.
Tara K Pedigo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tara K Pedigo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tara K Pedigo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Tara K Pedigo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912
United States |
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| Phone Number : | 706-721-8623 |
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| Fax Number : | 706-721-1459 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689669699 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Sep, 2005 |
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| Last Updated On : | 05 Nov, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara K Pedigo are as mentioned. Primary taxonomy code for Tara K Pedigo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 38825 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Tara K Pedigo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3894808 | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2863 HIGHWAY 45 BYP,
JACKSON, TN, 38305-3618
United States | JACKSON, TN | 731-664-1375 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1120 15th St Ste Bi1056
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-3813 |
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| Fax Number : | 706-721-9286 |
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Business Location:
Patients can refer following map for directions to
Tara K Pedigo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.