Holly Ridge Healthcare Pa

LBN: Wilmington Medical Group Pa
Holly Ridge Healthcare Pa is an health care organization with primary practice located at 308 Hwy 17 N , Holly Ridge NC 28445-7828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wilmington Medical Group Pa can be contacted via phone (910) 329-1707, or through Pridgen, James Henry via phone (910) 329-1707.

Contact Information

Primary practice address
308 Hwy 17 N Holly Ridge NC 28445-7828
Phone: (910) 329-1707
Fax: (910) 251-7777
Website:
Map and Directions
Authorized official contact:
Name: Pridgen, James Henry Doctor of Medicine (MD)
Phone: (910) 329-1707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1295871705
LBN Legal business name Wilmington Medical Group Pa
DBA Doing business as Holly Ridge Healthcare Pa
Authorized official Pridgen, James Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 20th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295871705 NPPES
North Carolina MEDICAID 89012R8
North Carolina Other 012R8
North Carolina Other 230038

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