MEDICARE: CHRISTOPHER PAIGE

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	172A00000X	Driver		NC

General Provider Information

NPI Number	:	1730744202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PAIGE

Provider Business Mailing Address
First Line	:	9805 STATESVILLE RD.
Second Line	:	SUITE 6198
City	:	CHARLOTTE
State	:	NC
Zip	:	28269
Country	:	US
Telephone Number	:	704-761-6098
Fax Number	:	704-948-8130

Provider Business Practice Location Address
First Line	:	9805 STATESVILLE RD.
Second Line	:	SUITE 6198
City	:	CHARLOTTE
State	:	NC
Zip	:	28269
Country	:	US
Telephone Number	:	704-761-6098
Fax Number	:	704-948-8130

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

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	05/09/2019

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Directions to “ CHRISTOPHER PAIGE ” Practice Location

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