Individual
DR. PHILIP G PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767
(225) 267-6626
(225) 267-5993
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019597
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378437
—
LA
01
—
19D1000495
CLIA#
LA
01
—
930071021
RRR
LA
Enumeration date
09/11/2006
Last updated
03/07/2023
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