Wilmington Medical Group Pa in Calabash - Family Medicine
Wilmington Medical Group Pa - NPI 1124164637
Wilmington Medical Group Pa is a Family Medicine in Calabash, 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 1124164637. The last update date is 2007-11-20.
Wilmington Medical Group Pa's current location address is 602 Thomasboro Rd, Calabash, North Carolina. You can contact this provider via phone number 9105791872 and fax number 9102517777. The mailing address for Wilmington Medical Group Pa is 602 Thomasboro Rd, Calabash, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilmington Medical Group Pa |
|---|---|
| Address | 602 Thomasboro Rd, Calabash, North Carolina |
| Phone Number | 9105791872 |
| Fax Number | 9102517777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Pridgen Henry James |
| Credentials | M.D. |
| Telephone Number | 9105791872 |
NPI Number Detail
| NPI Number | 1124164637 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 602 Thomasboro Rd |
|---|---|
| City | Calabash |
| State | North Carolina (NC) |
| Post Code | 2846721550 |
| Phone Number | 9105791872 |
| 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 |
|---|---|---|---|
| 017CR | NC | BCBS | |
| 230038 | NC | MEDICARE | |
| 5901139 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilmington Medical Group Pa?
The Wilmington Medical Group Pa has been issued the NPI (National Provider Identifier) 1124164637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Wilmington Medical Group Pa?
The Wilmington Medical Group Pa is situated at 602 Thomasboro Rd, in the city of Calabash, state of NC, with the zip code 2846721550.
What is the Wilmington Medical Group Pa's specialty and taxonomy code?
The Wilmington Medical Group Pa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Wilmington Medical Group Pa receive its 1124164637 assignment?
The Wilmington Medical Group Pa was assigned its 1124164637 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Wilmington Medical Group Pa most recently updated or refreshed?
The details pertaining to the Wilmington Medical Group Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-20.