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Organization
SOUTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA
Active
Organization
SOUTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
(910) 642-9876
Entity
Organization
Contact information
Practice address
308 US HIGHWAY 17 N, HOLLY RIDGE, NC 28445-7828
(910) 264-2334
(866) 251-5115
Mailing address
326 COLUMBUS CORNERS DR, WHITEVILLE, NC 28472-4929
(910) 642-9876
(910) 642-9879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015U2
—
NC
Enumeration date
12/10/2007
Last updated
05/17/2012
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