Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 90334 | GA |
Y | 111NI0900X | Internist | 90334 | GA |
NPI | 1003310616 |
---|---|
Provider Name | Ms. Caridad Padron |
First Address | Athens, GA 30606-3712 |
Second Address | Kingman, AZ 86409-3619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2018 |
Last Update Date | 14/12/2021 |