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Organization
SNEADS FERRY MEDICAL CLINIC PA
Active
Organization
SNEADS FERRY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
(910) 327-2015
Entity
Organization
Contact information
Practice address
1319 HWY 210 SUITE 1, SNEADS FERRY, NC 28460-9144
(910) 251-8851
(910) 251-7777
Mailing address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
(910) 327-2015
(910) 251-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015V4
—
NC
Enumeration date
12/10/2007
Last updated
05/08/2008
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