Individual
DR. CHARLES ALLEN PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 103, BALTIMORE, MD 21239-2905
(443) 444-3996
(410) 532-3998
Mailing address
5601 LOCH RAVEN BLVD, SUITE 103, BALTIMORE, MD 21239-2905
(443) 444-3996
(443) 444-3998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0015546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110072208
RAILROAD MEDICARE
MD
05
—
200461500
—
MD
Enumeration date
06/30/2006
Last updated
06/10/2008
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