Provider Demographics
NPI:1417528472
Name:PAGE, THOMAS S (CPO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:S
Last Name:PAGE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3339
Mailing Address - Country:US
Mailing Address - Phone:704-377-7099
Mailing Address - Fax:
Practice Address - Street 1:2219 E 7TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3339
Practice Address - Country:US
Practice Address - Phone:704-377-7099
Practice Address - Fax:704-377-7983
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist