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
Phone: (229) 439-9400
Fax: (229) 436-3718
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790893402 | NPPES |
| Georgia | MEDICAID | 000866126A | |
| Georgia | Other | 728846 | |
| Georgia | Other | 050074558 |
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