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Individual

EDWIN PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3015 W PALMETTO ST, FLORENCE, SC 29501-5935
(843) 777-6870
(843) 777-6886
Mailing address
3015 W PALMETTO ST, FLORENCE, SC 29501-5935
(843) 777-6870
(843) 777-6886

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19529
SC
207Q00000X
Family Medicine Physician
Primary
19529
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080138851
RAILROAD MEDICARE
SC
05
195292
SC
01
20066218
SELECT HEALTH
SC
01
201628
MEDCOST
SC
05
790625T
NC
Enumeration date
02/01/2006
Last updated
07/21/2022
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