| Northside Medical Center | |
|
1925a Oleander Dr Wilmington NC 28403-2334 | |
| (910) 251-7715 | |
| (910) 251-7777 |
| Full Name | Northside Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1925a Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | James Henry Pridgen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9102517715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Center 1925a Oleander Dr Wilmington NC 28403-2334 Ph: (910) 251-7715 | Northside Medical Center 1925a Oleander Dr Wilmington NC 28403-2334 Ph: (910) 251-7715 |
| NPI Number | 1457497968 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457497968 | NPI | - | NPPES |
| 89012R9 | Medicaid | NC | |
| 230038 | Other | NC | MEDICARE |
| 012R9 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southside Medical Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925a Oleander Dr, Wilmington, NC 28403 Phone: 910-251-7715 Fax: 910-763-7845 | |
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