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Individual

DR. CHRISTOPHER LEE PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1302 BROWN ST, WASHINGTON, NC 27889-4672
(252) 946-7257
(252) 946-9497
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1461
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09464
BCBS PROV #
NC
05
8909464
NC
Enumeration date
05/04/2006
Last updated
11/15/2017
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