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NPI Code Detail

MEDICARE: JAMIE I PAGE PA-C

MEDICARE: JAMIE I PAGE PA-C
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
1363AM0700XMedical Physician AssistantSC
2363A00000XPhysician Assistant3861SC

General Provider Information

NPI Number : 1245829167
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE I PAGE PA-C
Provider Business Mailing Address
First Line : 1561 TERNS NEST RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-9522
Country : US
Telephone Number : 843-708-0010
Fax Number :
Provider Business Practice Location Address
First Line : 1327 ASHLEY RIVER RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5384
Country : US
Telephone Number : 843-577-4551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2021
Last Update Date : 01/20/2026

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Directions to “ JAMIE I PAGE PA-C” Practice Location

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