Individual
BRIAN K PADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-3180
Mailing address
2511 WEEPING WILLOW CIR, HATTIESBURG, MS 39402-6092
(601) 467-7326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879065
MS
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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