MEDICARE: ANNA PAGE NIX M.S. CCC-SLP

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	235Z00000X	Speech-Language Pathologist	8391	TN

General Provider Information

NPI Number	:	1114818127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA PAGE NIX M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	245 POPLAR ST
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-1277
Country	:	US
Telephone Number	:	731-926-6853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 FLORENCE RD
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-3762
Country	:	US
Telephone Number	:	731-412-0718
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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Directions to “ ANNA PAGE NIX M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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