Healthcare Provider Details

I. General information

NPI: 1801154901
Provider Name (Legal Business Name): RICHARD W PIGG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 HAMILL RD STE 306
HIXSON TN
37343-4653
US

IV. Provider business mailing address

2051 HAMILL ROAD SUITE 301
HIXSON TN
37343
US

V. Phone/Fax

Practice location:
  • Phone: 423-877-1249
  • Fax: 423-870-2765
Mailing address:
  • Phone: 423-877-1249
  • Fax: 423-870-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number53270
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: