Healthcare Provider Details

I. General information

NPI: 1598732083
Provider Name (Legal Business Name): RILDIA JONES PRITCHETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 BLUE RIDGE RD SUITE 300
RALEIGH NC
27612-8036
US

IV. Provider business mailing address

3100 BLUE RIDGE RD SUITE 300
RALEIGH NC
27612-8036
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-7500
  • Fax: 919-645-3440
Mailing address:
  • Phone: 919-781-7500
  • Fax: 919-645-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number29714
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: