| Holly Ridge Healthcare Pa | |
|
308 Hwy 17 N Holly Ridge NC 28445-7828 | |
| (910) 329-1707 | |
| (910) 251-7777 |
| Full Name | Holly Ridge Healthcare Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 308 Hwy 17 N, Holly Ridge, North Carolina |
| Authorized Official Name and Position | James Henry Pridgen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9103291707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ridge Healthcare Pa 1925a Oleander Dr Wilmington NC 28403-2334 Ph: (910) 251-8851 | Holly Ridge Healthcare Pa 308 Hwy 17 N Holly Ridge NC 28445-7828 Ph: (910) 329-1707 |
| NPI Number | 1295871705 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295871705 | NPI | - | NPPES |
| 89012R8 | Medicaid | NC | |
| 012R8 | Other | NC | BCBS |
| 230038 | Other | NC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Penslow Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 N Dyson St, Holly Ridge, NC 28445 Phone: 910-329-7591 Fax: 910-329-1592 | |
Holly Ridge Healthcare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 Holly St, Holly Ridge, NC 28445 Phone: 910-329-1707 Fax: 910-329-1716 | |
South Whiteville Urgent Care & Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Us Highway 17 N, Holly Ridge, NC 28445 Phone: 910-264-2334 Fax: 866-251-5115 |