Individual
MARY KATRINA PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11491 US HIGHWAY 70 W, CLAYTON, NC 27520-2207
(919) 550-2484
(919) 550-7059
Mailing address
11491 US HIGHWAY 70 W, CLAYTON, NC 27520-2207
(919) 550-2484
(919) 550-7059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102873
NC
Other
Enumeration date
07/17/2006
Last updated
07/09/2007
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