Individual
HENRY ALBERT PRIDGEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 W 1ST AVE, ALBANY, GA 31701-2202
(229) 439-9400
(229) 436-3718
Mailing address
PO BOX 1227, 406 WEST FIRST AVENUE, ALBANY, GA 31702-1227
(229) 439-9400
(229) 436-3718
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64974
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
048294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000866126A
—
GA
01
—
050074558
MEDICARE RAILROAD
GA
01
—
728846
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/25/2006
Last updated
02/21/2023
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