# INTRAMED FAMILY PRACTICE & URGENT CARE PA

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

## Provider details

- **NPI number:** 1285817684
- **Authorized official:** DR. JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (910) 579-1872

## Contact information

- **Practice address:** 602 THOMASBORO RD SW, CALABASH, NC 28467-2155
- **Practice address phone:** (910) 251-8851
- **Practice address fax:** (910) 251-7777
- **Mailing address:** 1925A OLEANDER DR, WILMINGTON, NC 28403-2334
- **Mailing address phone:** (910) 579-1872
- **Mailing address fax:** (910) 251-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29495 | NC | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 05/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5901139 | — | NC |