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NPI Code Detail

MEDICARE: MRS. LINDSEY PAGE GUILL PA-C

MEDICARE: MRS. LINDSEY PAGE GUILL 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
1363A00000XPhysician AssistantPA.1475AL

General Provider Information

NPI Number : 1639631328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY PAGE GUILL PA-C
Provider Business Mailing Address
First Line : 104 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4300
Fax Number :
Provider Business Practice Location Address
First Line : 104 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 04/02/2019

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Directions to “ MRS. LINDSEY PAGE GUILL PA-C” Practice Location

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