NPI | 1144270018 |
---|---|
Former Legal Business Name | CARL D. PAIGE, MD, PSC |
Entity Type | Organization |
Authorized Contact | CARLTON DAMON PAIGE President 502-225-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 41864) |
207R00000X Internal Medicine | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-01-24 |