Healthcare Provider Details

I. General information

NPI: 1326964032
Provider Name (Legal Business Name): PARIS PAIGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9805 STATESVILLE RD STE 6566
CHARLOTTE NC
28269-7647
US

IV. Provider business mailing address

9805 STATESVILLE RD STE 6566
CHARLOTTE NC
28269-7647
US

V. Phone/Fax

Practice location:
  • Phone: 704-659-3711
  • Fax: 704-965-5848
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6034
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: