| Doctor Name: | BRIAN K PADGETT |
| NPI Number: | 1750677704 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | R879065 |
| Business Practice Address: | 701 S Holly Ave Collins, MS - 394283894 |
| Business Phone Number: | 6017653180 |
| Business Fax Number: | |
| Mailing Address: | 2511 Weeping Willow Cir, HATTIESBURG |
| State: | MS |
| Postal Code: | 394026092 |
| Phone Number: | 6014677326 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 06/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R879065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |