Holly Ridge Healthcare Pa in Holly Ridge - Family Medicine

Holly Ridge Healthcare Pa - NPI 1558544957

Holly Ridge Healthcare Pa is a Family Medicine in Holly Ridge, North Carolina. Holly Ridge Healthcare Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Holly Ridge Healthcare Pa is 1558544957. The last update date is 2019-03-28.

Holly Ridge Healthcare Pa's current location address is 119 Holly St, Holly Ridge, North Carolina. You can contact this provider via phone number 9103291707 and fax number 9103291716. The mailing address for Holly Ridge Healthcare Pa is 119 Holly St, Holly Ridge, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Holly Ridge Healthcare Pa
Address 119 Holly St, Holly Ridge, North Carolina
Phone Number 9103291707
Fax Number 9103291716
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Pridgen Henry James
Credentials M.D.
Telephone Number 9103291707

NPI Number Detail

NPI Number 1558544957
Provider Enumeration Date 2007-12-10
Last Updated Date 2019-03-28

Provider Mailing Address Detail

Address 119 Holly St
City Holly Ridge
State North Carolina (NC)
Post Code 284457898
Phone Number 9103291707
Fax Number 9103291716

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 29495
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89012R8 NC --

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FAQs about Holly Ridge Healthcare Pa

What is the unique identification code assigned to Holly Ridge Healthcare Pa by the Centers for Medicare & Medicaid Services?

The Holly Ridge Healthcare Pa has been issued the NPI (National Provider Identifier) 1558544957. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Holly Ridge Healthcare Pa?

The Holly Ridge Healthcare Pa is situated at 119 Holly St, in the city of Holly Ridge, state of NC, with the zip code 284457898.

What is Holly Ridge Healthcare Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Holly Ridge Healthcare Pa's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558544957 to Holly Ridge Healthcare Pa?

The Centers for Medicare & Medicaid Services originally issued the 1558544957 to Holly Ridge Healthcare Pa on 2007-12-10.

When was the information regarding Holly Ridge Healthcare Pa most recently updated?

The details pertaining to the Holly Ridge Healthcare Pa, including its address, specialty, and other relevant information, were last refreshed on 2019-03-28.

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