Provider Demographics
NPI:1699352690
Name:GUILLORY, PAIGE ELIZABETH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:GUILLORY
Other - Last Name:PETTUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2451 UNIVERSITY HOSPITAL DR RM 714
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2300
Mailing Address - Country:US
Mailing Address - Phone:251-415-1496
Mailing Address - Fax:251-665-8255
Practice Address - Street 1:2451 UNIVERSITY HOSPITAL DR RM 714
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2300
Practice Address - Country:US
Practice Address - Phone:251-415-1496
Practice Address - Fax:251-665-8255
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X
AL45358207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program