Individual
DR. PAIGE REID PORRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 512-6041
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
291
CT
231H00000X
Audiologist
Primary
7958
SC
237600000X
Audiologist-Hearing Aid Fitter
291
CT
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004245412
FOR TESTING FOR MEDICAID
CT
05
—
004245412
—
CT
01
—
4015020
FAC# FOR DURABLE MEDICAL
CT
05
—
4015020
—
CT
Enumeration date
09/28/2006
Last updated
03/30/2026
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