Pridgen, Henry Albert

Pridgen, Henry Albert is an individual health care provider with primary practice located at 406 W 1St Ave , Albany GA 31701-2202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Pridgen, Henry Albert can be contacted via phone (229) 439-9400.

Contact Information

Primary practice address
406 W 1St Ave Albany GA 31701-2202
Fax: (229) 436-3718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 64974 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 048294 Georgia

Profile Details

NPI number 1790893402
LBN Legal business name Pridgen, Henry Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790893402 NPPES
Georgia MEDICAID 000866126A
Georgia Other 728846
Georgia Other 050074558

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