Tateisha Lynelle Page, PA
NPI #1134765423 in Warsaw, North Carolina
Provider Information
- NPI Number
- 1134765423
- Entity Type
- Individual
- Name
- Tateisha Lynelle Page, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Nov 21, 2019
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 113 S PINE ST
- City
- Warsaw
- State
- North Carolina
- ZIP Code
- 28398-1924
- Phone
- (910) 293-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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Organizations
| Provider Name | |
|---|---|
| Duplin Medical Association |
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