MEDICARE: DR. ALFRED LEBRON PAIGE MD

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	2084N0400X	Neurology Physician	35.148429	OH
2	2084E0001X	Epilepsy Physician	35.148429	OH

General Provider Information

NPI Number	:	1801828454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED LEBRON PAIGE MD

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-4969
Fax Number	:	614-293-6111

Provider Business Practice Location Address
First Line	:	6100 N HAMILTON RD FL 5
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2062
Country	:	US
Telephone Number	:	614-293-4969
Fax Number	:	614-293-6111

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	08/23/2024

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