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Individual

JEFFREY PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1326 E LITTLE CREEK RD, NORFOLK, VA 23518-3952
(757) 772-6122
Mailing address
747 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1538
(757) 736-3680
(757) 599-0215

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0100-004600
VA
363A00000X
Physician Assistant
Primary
0110004600
VA

Other

Enumeration date
06/18/2014
Last updated
07/05/2024
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