Individual
DR. JOHN MANN PAGE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, GI SERVICE, DEPARTMENT OF MEDICINE, DDEAMC, FORT GORDON, GA 30905-5741
(706) 787-1506
Mailing address
300 W HOSPITAL RD, GI SERVICE, DEPARTMENT OF MEDICINE, DDEAMC, FORT GORDON, GA 30905-5741
(706) 787-1506
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101235618
VA
207RG0100X
Gastroenterology Physician
Primary
M4417
TX
Other
Enumeration date
07/13/2006
Last updated
01/26/2016
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