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Individual

PADEN JOHN VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2575
Mailing address
32 NALL LN, BARDSTOWN, KY 40004-7764
(502) 939-0732

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MMD.87636
SC

Other

Enumeration date
04/30/2022
Last updated
05/03/2022
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