MEDICARE: PAIGE KRAHLING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P018492	NC

General Provider Information

NPI Number	:	1578277786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE KRAHLING

Provider Business Mailing Address
First Line	:	3820 MOSBY DR APT B
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-4468
Country	:	US
Telephone Number	:	484-723-3536
Fax Number	:

Provider Business Practice Location Address
First Line	:	631 SOUTHERN HIGH SCHOOL RD
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-8414
Country	:	US
Telephone Number	:	336-570-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2023
Last Update Date	:	01/11/2023

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