Provider Demographics
NPI:1730168279
Name:PRIDGEON, RHONDA MARIE (MD)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MARIE
Last Name:PRIDGEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11403 HOLLOWSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3122
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:SUITE GC-11
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0071
Practice Address - Fax:703-805-0189
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010380652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology