Individual
DR. LAURA TAYLOR PRIDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1994 WELLNESS BLVD STE 110, MONROE, NC 28110-7768
(704) 384-8460
(704) 384-8465
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2001-01289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130G2
—
NC
05
—
N01289
—
SC
Enumeration date
09/26/2005
Last updated
06/20/2023
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