MEDICARE: MONTECIA PAIGE EMT-I

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	146M00000X	Intermediate Emergency Medical Technician	I039961	GA

General Provider Information

NPI Number	:	1053252924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONTECIA PAIGE EMT-I

Provider Business Mailing Address
First Line	:	PO BOX 801519
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-1220
Country	:	US
Telephone Number	:	770-731-3782
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 801519
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-1220
Country	:	US
Telephone Number	:	770-731-3782
Fax Number	:

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

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ MONTECIA PAIGE EMT-I” Practice Location

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