Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL EDWARD PRIDGEN, LAT, ATC
Active Sole ProprietorRANDALL EDWARD PRIDGEN, LAT, ATC is a Athletic Trainer healthcare provider located in WILSON, North Carolina. NPI 1679641591 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILSON, NC
Registration Details
- NPI Number
- 1679641591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.666507087724 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0328 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 ROUNTREE ST WWILSON, NC, 278932811Browse NC providers · Browse ZIP 27893
- Phone
- 2523996520
- Fax
- 2523996516
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WILSON, NC
| Name | Credential | NPI |
|---|---|---|
| CHARLES COLE VICTOR VERTZ | ATC, LAT | 1942577929 |
| DR. JENNIFER ANNSCHULTHEIS O'DONOGHUE | PHD, LAT, ATC, CSCS | 1801161351 |
| MRS. TAMMY HOLLEMAN | MA, LAT, ATC | 1508132135 |
| GINNA ASHLEY LEWIS | MS, LAT, ATC, CSCS | 1871983940 |
| ANNE ROBL BENTON | LAT,ATC | 1457702938 |
| MS. JORDYN LOPEZ | MS, LAT, ATC | 1114445152 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.