Wilmington Medical Group Pa in Holly Ridge - Family Medicine

Wilmington Medical Group Pa - NPI 1295871705

Wilmington Medical Group Pa is a Family Medicine in Holly Ridge, 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 1295871705. The last update date is 2007-11-20.

Wilmington Medical Group Pa's current location address is 308 Hwy 17 N, Holly Ridge, North Carolina. You can contact this provider via phone number 9103291707 and fax number 9102517777. The mailing address for Wilmington Medical Group Pa is 308 Hwy 17 N, Holly Ridge, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wilmington Medical Group Pa
Address 308 Hwy 17 N, Holly Ridge, North Carolina
Phone Number 9103291707
Fax Number 9102517777
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 1295871705
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-11-20

Provider Mailing Address Detail

Address 308 Hwy 17 N
City Holly Ridge
State North Carolina (NC)
Post Code 2844578280
Phone Number 9103291707
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
89012R8 NC --
012R8 NC BCBS
230038 NC MEDICARE

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FAQs about Wilmington Medical Group Pa

What is the unique 10-digit identification code assigned to Wilmington Medical Group Pa by the Centers for Medicare & Medicaid Services?

The Wilmington Medical Group Pa has been issued the NPI (National Provider Identifier) 1295871705, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Wilmington Medical Group Pa located?

The Wilmington Medical Group Pa is located at 308 Hwy 17 N, Holly Ridge, NC 2844578280.

What is Wilmington Medical Group Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wilmington Medical Group Pa is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Wilmington Medical Group Pa receive its 1295871705 assignment from the Centers for Medicare & Medicaid Services?

The Wilmington Medical Group Pa was assigned its 1295871705 by the Centers for Medicare & Medicaid Services on 2007-01-30.

As of what date were the Wilmington Medical Group Pa's details last updated?

The information pertaining to the Wilmington Medical Group Pa, including its address, specialty, and other details, was most recently updated on 2007-11-20.

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