# PHILIP G. PADGETT, AMPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WBR Family and Occupational Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700096690
- **Authorized official:** DR. PHILIP G. PADGETT M.D. (OWNER)
- **Authorized official phone:** (225) 267-6626

## Contact information

- **Practice address:** 610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
- **Practice address phone:** (225) 267-6626
- **Practice address fax:** (225) 267-5993
- **Mailing address:** 610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
- **Mailing address phone:** (225) 267-6626
- **Mailing address fax:** (225) 267-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 019597 | LA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 03/07/2023
