Individual
COURTNEY PRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1103 W D ST, NORTH WILKESBORO, NC 28659-4141
(336) 883-0029
(336) 863-1938
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
0010-10727
NC
363A00000X
Physician Assistant
Primary
0010-10727
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-10727
NC STATE LICENSE
NC
Enumeration date
11/27/2020
Last updated
08/12/2025
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