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Organization

INTRAMED FAMILY PRACTICE & URGENT CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
(910) 579-1872
Entity
Organization

Contact information

Practice address
602 THOMASBORO RD SW, CALABASH, NC 28467-2155
(910) 251-8851
(910) 251-7777
Mailing address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
(910) 579-1872
(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
5901139
NC
Enumeration date
12/10/2007
Last updated
05/08/2008
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