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NPI Code Detail

MEDICARE: MR. JAMES COLMAN PADGETT PT

MEDICARE:  MR. JAMES COLMAN PADGETT  PT
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
12251X0800XOrthopedic Physical Therapist1012LA

General Provider Information

NPI Number : 1215940077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES COLMAN PADGETT PT
Provider Business Mailing Address
First Line : 2409 ARKANSAS RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-8611
Country : US
Telephone Number : 318-396-2044
Fax Number : 318-396-2204
Provider Business Practice Location Address
First Line : 2409 ARKANSAS RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-8611
Country : US
Telephone Number : 318-396-2044
Fax Number : 318-396-2204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JAMES COLMAN PADGETT PT” Practice Location

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