Individual
LINDA LANIER PADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 454-2613
(803) 765-1732
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
509
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163655
UNISON
SC
01
—
20019414
FIRST CHOICE
SC
01
—
576008010-006
BLUE CHOICE
SC
01
—
576008010-009
BCBS
SC
01
—
576008010-015
TRICARE
SC
05
—
AN0363
—
SC
Enumeration date
04/20/2006
Last updated
01/17/2024
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