Organization
SOUTHSIDE MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PRIDGEN MD (DIRECTOR/OWNER)
(910) 431-6000
Entity
Organization
Contact information
Practice address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
(910) 329-1707
Mailing address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29495
NC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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