Individual
DR. LARRY GENE PADGET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 INNOVATION WAY, MT PLEASANT, SC 29466-8414
(843) 876-1445
(843) 876-5386
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 876-1445
(843) 876-5386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131114403
—
TX
Enumeration date
10/16/2006
Last updated
06/21/2024
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