Pridemore, Laura Taylor
Pridemore, Laura Taylor is an individual health care provider with primary practice located at 1994 Wellness Blvd Ste 110 , Monroe NC 28110-7768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pridemore, Laura Taylor can be contacted via phone (704) 384-8460.Contact Information
Primary practice address
1994 Wellness Blvd Ste 110
Monroe NC 28110-7768
Phone: (704) 384-8460
Fax: (704) 384-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2001-01289 | North Carolina |
Profile Details
| NPI number | 1598751513 |
|---|---|
| LBN Legal business name | Pridemore, Laura Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jun 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598751513 | NPPES |
| South Carolina | MEDICAID | N01289 | |
| South Carolina | MEDICAID | 89130G2 |
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