# PRIDGEN CHIROPRACTIC & WELLNESS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124220512
- **Authorized official:** DR. LEO DAVID PRIDGEN JR. DC (PRESIDENT)
- **Authorized official phone:** (229) 244-5314

## Contact information

- **Practice address:** 3338 COUNTRY CLUB RD, BULDG F STE3, VALDOSTA, GA 31605-1044
- **Practice address phone:** (229) 244-5314
- **Mailing address:** 3338 COUNTRY CLUB RD, BLDG F STE3, VALDOSTA, GA 31605-1044
- **Mailing address phone:** (229) 244-5314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 1133 | GA | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020