Provider Demographics
NPI:1497818736
Name:PADUANO, JULIA S (NP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:S
Last Name:PADUANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 743294
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3294
Mailing Address - Country:US
Mailing Address - Phone:864-963-8002
Mailing Address - Fax:864-963-2742
Practice Address - Street 1:408 SE MAIN STREET
Practice Address - Street 2:STONEVIEW INTERNAL MEDICINE
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-2652
Practice Address - Country:US
Practice Address - Phone:864-963-8002
Practice Address - Fax:864-963-2742
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily