Wilmington Medical Group PA
NPI #1104962612 in Whiteville, North Carolina
Provider Information
- NPI Number
- 1104962612
- Entity Type
- Organization
- Organization Name
- Wilmington Medical Group PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 614 N JK POWELL BLVD
- City
- Whiteville
- State
- North Carolina
- ZIP Code
- 28472-3008
- Phone
- (910) 640-2009
Authorized Official
- Name
- JAMES HENRY PRIDGEN, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (910) 640-2009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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