| NPI | 1326507104 |
|---|---|
| Former Name | ADALIE MARIE PADGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08968) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 0010-08968) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-02-22 |