Individual
RANDALL EDWARD PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
501 ROUNTREE ST W, WILSON, NC 27893-2811
(252) 399-6520
(252) 399-6516
Mailing address
2102 CAMERON RD SW, WILSON, NC 27893-4502
(252) 289-5005
(252) 399-6516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0328
NC
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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