Kaoru Joan Pridgen, M.D., P.A.
LBN: Kaoru Joan Pridgen, M.D., P.A.
Kaoru Joan Pridgen, M.D., P.A. is an health care organization with primary practice located at 11 Gateway Corners Park , Columbia SC 29203-8902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Kaoru Joan Pridgen, M.D., P.A. can be contacted via phone (803) 462-2335, or through Pridgen, Kaoru Joan via phone (803) 462-2335.
Contact Information
Primary practice address
11 Gateway Corners Park
Columbia SC 29203-8902
Phone: (803) 462-2335
Fax: (803) 462-0375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 25856 | South Carolina |
Profile Details
NPI number | 1235336082 |
---|---|
LBN Legal business name | Kaoru Joan Pridgen, M.D., P.A. |
DBA Doing business as | |
Authorized official | Pridgen, Kaoru Joan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 27th, 2007 |
Last updated | Aug 29th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235336082 | NPPES |
South Carolina | MEDICAID | 258562 |
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