Healthcare Provider Details

I. General information

NPI: 1073771663
Provider Name (Legal Business Name): DR. ADAM ONEAL PADGETT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 09/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANTONSBURG RD PITT COUNTY MEMORIAL HOSPITAL
GREENVILLE NC
27834-2818
US

IV. Provider business mailing address

2100 STANTONSBURG RD PITT COUNTY MEMORIAL HOSPITAL
GREENVILLE NC
27834-2818
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4268
  • Fax:
Mailing address:
  • Phone: 252-847-4268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2012-01689
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: