Individual
CASEY PRIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 RICHARDS WAY, HIRAM, GA 30141-5193
(305) 924-6601
Mailing address
316 RICHARDS WAY, HIRAM, GA 30141-5193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261957
GA
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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