NPI 1003099409

Southside Medical Center PA

Organisation Family Medicine Physician Wilmington, NC

Practice location

Address: 1925a Oleander Dr, Wilmington, NC 28403-2334
Phone: (910) 251-7715
Fax: (910) 763-7845
Mailing address: PO Box 129, Holly Ridge, NC 28445-0129

Authorised official

Name: James Henry Pridgen
Title: Medical Director
Phone: (910) 264-2334

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 29495 (NC)

Other Family Medicine providers in North Carolina →

Registry record

NPI: 1003099409
Entity type: Organization
NPI issued: 10 Dec 2007
Record last updated: 10 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.