Provider Demographics
NPI:1184664005
Name:PAGE, JAMES B (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:PAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 MILLS AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5602
Mailing Address - Country:US
Mailing Address - Phone:864-242-6565
Mailing Address - Fax:864-242-3175
Practice Address - Street 1:527 MILLS AVENUE
Practice Address - Street 2:SUITE 201 PSYCHIATRIC ASSOCIATES PA
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5602
Practice Address - Country:US
Practice Address - Phone:864-242-6565
Practice Address - Fax:864-242-3175
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C611001272Medicare UPIN
C611001272Medicare ID - Type Unspecified