Wilmington Medical Group Pa in Whiteville - Family Medicine
Wilmington Medical Group Pa - NPI 1104962612
Wilmington Medical Group Pa is a Family Medicine in Whiteville, North Carolina. Wilmington Medical Group Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wilmington Medical Group Pa is 1104962612. The last update date is 2007-11-20.
Wilmington Medical Group Pa's current location address is 614 N Jk Powell Blvd, Whiteville, North Carolina. You can contact this provider via phone number 9106402009 and fax number 9102517777. The mailing address for Wilmington Medical Group Pa is 614 N Jk Powell Blvd, Whiteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilmington Medical Group Pa |
|---|---|
| Address | 614 N Jk Powell Blvd, Whiteville, North Carolina |
| Phone Number | 9106402009 |
| Fax Number | 9102517777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Pridgen Henry James |
| Credentials | M.D. |
| Telephone Number | 9106402009 |
NPI Number Detail
| NPI Number | 1104962612 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 614 N Jk Powell Blvd |
|---|---|
| City | Whiteville |
| State | North Carolina (NC) |
| Post Code | 2847230080 |
| Phone Number | 9106402009 |
| Fax Number | 9102517777 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230038 | NC | MEDICARE | |
| 89012TP | NC | -- | |
| 012TP | NC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wilmington Medical Group Pa by the Centers for Medicare & Medicaid Services?
The Wilmington Medical Group Pa has been assigned the NPI (National Provider Identifier) 1104962612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Wilmington Medical Group Pa is located?
The Wilmington Medical Group Pa is situated at the following address: 614 N Jk Powell Blvd, Whiteville, NC, 2847230080.
What is Wilmington Medical Group Pa's area of expertise and its corresponding taxonomy classification?
The Wilmington Medical Group Pa's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104962612 assigned to Wilmington Medical Group Pa?
The Wilmington Medical Group Pa was issued its 1104962612 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wilmington Medical Group Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wilmington Medical Group Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-20.
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