Provider Demographics
NPI:1720157357
Name:PADGETT, JULIA K
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:K
Last Name:PADGETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 GLEN FOREST DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3759
Mailing Address - Country:US
Mailing Address - Phone:804-549-4030
Mailing Address - Fax:804-549-4032
Practice Address - Street 1:10800 MIDLOTHIAN TPKE STE 310
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4725
Practice Address - Country:US
Practice Address - Phone:804-549-4030
Practice Address - Fax:804-549-4032
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101223416207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN