| NPI | 1457497968 |
|---|---|
| Doing Business As | NORTHSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES HENRY PRIDGEN Medical Director 910-251-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-11-20 |