Provider Demographics
NPI:1730129016
Name:ROY, PAIGE C (MD)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:C
Last Name:ROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:PAIGE
Other - Middle Name:E
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 BRIGADOON DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-8735
Mailing Address - Country:US
Mailing Address - Phone:205-514-2514
Mailing Address - Fax:256-270-9980
Practice Address - Street 1:4704 WHITESBURG DR SW
Practice Address - Street 2:SUITE #201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1679
Practice Address - Country:US
Practice Address - Phone:256-270-9979
Practice Address - Fax:256-270-9980
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49051208100000X
ALMD.28175208100000X
NC2007-00412208100000X
GA059187208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051543047OtherBCBS
AL009911110Medicaid
AL009911111Medicaid
AL009911110Medicaid
ALP00653610Medicare PIN