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General NPI Number Information
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NPI Number | 1497170237
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Entity Type | Organization
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Legal Business Name | WHITEVILLE FAMILY PRACTICE, PA
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 282 FLOWERS PRIDGEN RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-9110
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Country | US
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Telephone | 910-431-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 308 US HIGHWAY 17 N
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City | HOLLY RIDGE
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State | NC
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Zip | 28445-7828
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Country | US
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Telephone | 910-431-6000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JAMES PRIDGEN
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Credential | MD
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Telephone | 910-431-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29495
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License Number State | NC
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