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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
230038 NC MEDICARE
89012TP NC --
012TP NC BCBS

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FAQs about Wilmington Medical Group Pa

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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