Individual
DR. DOUGLAS D PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 SIGNAL HILL DRIVE EXT, SUITE 100, STATESVILLE, NC 28625-4337
(704) 818-0480
(704) 818-0490
Mailing address
PO BOX 63214, CHARLOTTE, NC 28263-3214
(704) 818-0480
(704) 818-0490
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
18045
NC
261QP3300X
Pain Clinic/Center
18045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132YC
BLUECROSSBLUESHIELD
NC
01
—
2059778
AETNA
NC
01
—
74667
MEDCOST
NC
05
—
89132YC
—
NC
01
—
DG1403
RR MEDICARE
—
Enumeration date
07/10/2006
Last updated
05/20/2010
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