Kaoru Joan Pridgen in Irmo - Family Medicine
Kaoru Joan Pridgen - NPI 1790755353
Kaoru Joan Pridgen is a Family Medicine in Irmo, South Carolina. Kaoru Joan Pridgen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kaoru Joan Pridgen is 1790755353. The last update date is 2022-01-18.
Kaoru Joan Pridgen's current location address is 7430 College St, Irmo, South Carolina. You can contact this provider via phone number 8392007810 and fax number 8038917085. The mailing address for Kaoru Joan Pridgen is 7430 College St, Irmo, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kaoru Joan Pridgen |
|---|---|
| Address | 7430 College St, Irmo, South Carolina |
| Phone Number | 8392007810 |
| Fax Number | 8038917085 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790755353 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 7430 College St |
|---|---|
| City | Irmo |
| State | South Carolina (SC) |
| Post Code | 290632903 |
| Phone Number | 8392007810 |
| Fax Number | 8038917085 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25856 |
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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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What is the Kaoru Joan Pridgen's unique identification number?
The Kaoru Joan Pridgen has been assigned the NPI (National Provider Identifier) Number 1790755353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kaoru Joan Pridgen located?
The Kaoru Joan Pridgen is located at 7430 College St, Irmo, SC 290632903.
What is Kaoru Joan Pridgen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kaoru Joan Pridgen'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 issue the 1790755353 to Kaoru Joan Pridgen?
The Kaoru Joan Pridgen received its 1790755353 assignment from the Centers for Medicare & Medicaid Services on 2006-01-25.
When was the Kaoru Joan Pridgen's information last updated?
The Kaoru Joan Pridgen's information was last updated on 2022-01-18.