Organization
PAIGE CHRISTINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE C PROCTOR PA (PHYSICIAN'S ASSISTANT)
(757) 576-8133
Entity
Organization
Contact information
Practice address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Mailing address
504 23RD ST, VIRGINIA BEACH, VA 23451-4006
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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