Individual
MICHELLE LUCIA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
(910) 815-5850
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-7000
(910) 815-5850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2019-01806
NC
390200000X
Student in an Organized Health Care Education/Training Program
237902
NC
Other
Enumeration date
05/03/2018
Last updated
07/22/2022
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