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NPI Code Detail

MEDICARE: CHARLES H PADGET M.D.

MEDICARE: CHARLES H PADGET M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD0000037540TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24064304OTHERTNBCBS OF TN

General Provider Information

NPI Number : 1235166091
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES H PADGET M.D.
Provider Business Mailing Address
First Line : PO BOX 402
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-0402
Country : US
Telephone Number : 877-732-3978
Fax Number : 770-238-3883
Provider Business Practice Location Address
First Line : 1801 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8259
Country : US
Telephone Number : 931-455-3649
Fax Number : 770-238-3883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 09/19/2008

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