| South Whiteville Urgent Care & Family Practice Pa | |
|
308 Us Highway 17 N Holly Ridge NC 28445-7828 | |
| (910) 264-2334 | |
| (866) 251-5115 |
| Full Name | South Whiteville Urgent Care & Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 308 Us Highway 17 N, Holly Ridge, North Carolina |
| Authorized Official Name and Position | James Henry Pridgen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9106429876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Whiteville Urgent Care & Family Practice Pa 326 Columbus Corners Dr Whiteville NC 28472-4929 Ph: (910) 642-9876 | South Whiteville Urgent Care & Family Practice Pa 308 Us Highway 17 N Holly Ridge NC 28445-7828 Ph: (910) 264-2334 |
| NPI Number | 1740463140 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740463140 | NPI | - | NPPES |
| 89015U2 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29495 (North Carolina) | 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: Not Enrolled in Medicare Practice Location: 308 Hwy 17 N, Holly Ridge, NC 28445 Phone: 910-329-1707 Fax: 910-251-7777 | |
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 |