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
ZIP Code
28398-1924
Phone
(910) 293-7246

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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