Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 2008-01402 | NC |
NPI | 1023055761 |
---|---|
Provider Name | Michael A Pritchett |
First Address | Pinehurst, NC 28374-8798 |
Second Address | Pinehurst, NC 28374-8798 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 23/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1498R | BCBS NC (01) | |
5910122 | (05) | NC |
FH2967645 | FIRSTCAROLINACARE (01) | |
N01408 | SC MEDICAID (01) | SC |
P00644090 | RAILROAD MEDICARE (01) |