Individual
DR. PAUL ANTHONY LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 S HIGHWAY 14 STE 2200, GREER, SC 29650-4936
(864) 849-9555
(864) 849-9556
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17137
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171370
—
SC
05
—
8905622
—
NC
01
—
F823813365
MEDICARE PIN
SC
01
—
F823815019
MEDICARE PIN
SC
01
—
P00453884
RR MEDICARE
SC
Enumeration date
05/23/2005
Last updated
02/04/2021
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