Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randall Edward Pridgen, LAT, ATC

Individual provider Athletic Trainer · NPI 1679641591

Randall Edward Pridgen, LAT, ATC is an Athletic Trainer in Wilson, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

501 Rountree St W
Wilson, NC 27893-2811
Phone: (252) 399-6520
Fax: (252) 399-6516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0328 (NC)

Record details

NPI number1679641591
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007

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