Individual
NICOLE L. PAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 110, CHARLESTON, SC 29414-5749
(843) 853-3474
(843) 853-3500
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3232
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293PA
—
SC
Enumeration date
08/06/2019
Last updated
05/11/2021
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