SearchGeorgia246RM2200X

Selmman Padridin

NPI 1124420377 · on the registry since 2014

Practice

Address
411 E 9th St
Box #12
Fort Stewart, GA 31314
Phone
(912) 435-6081
Clinicians at this address
2

Registry record

Primary taxonomy
246RM2200X
246RM2200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia