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1925a Oleander Dr Wilmington NC 28403-2334 | |
(910) 251-7715 | |
(910) 251-7777 |
Full Name | |
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Speciality | Family Medicine |
Location | 1925a Oleander Dr, Wilmington, North Carolina |
Authorized Official Name and Position | James Henry Pridgen (MEDICAL DIRECTOR) |
Authorized Official Contact | 9102517715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1925a Oleander Dr Wilmington NC 28403-2334 Ph: (910) 251-7715 | 1925a Oleander Dr Wilmington NC 28403-2334 Ph: (910) 251-7715 |
NPI Number | 1457497968 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 11/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457497968 | NPI | - | NPPES |
89012R9 | Medicaid | NC | |
230038 | Other | NC | MEDICARE |
012R9 | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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