MEDICARE: PAIGE MARIE GATLIFF

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1649131426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE MARIE GATLIFF

Provider Business Mailing Address
First Line	:	465 SILVER MAPLE RDG APT 1
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25306-1146
Country	:	US
Telephone Number	:	763-202-6362
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 SILVER MAPLE RDG APT 1
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25306-1146
Country	:	US
Telephone Number	:	763-202-6362
Fax Number	:

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

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	02/05/2026

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Directions to “ PAIGE MARIE GATLIFF ” Practice Location

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