Provider Demographics
NPI:1740261429
Name:DANA, JOHN PAGE (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PAGE
Last Name:DANA
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1076 RIBAUT RD
Mailing Address - Street 2:STE 101
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5477
Mailing Address - Country:US
Mailing Address - Phone:843-525-0045
Mailing Address - Fax:
Practice Address - Street 1:650 JOEL DR
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5318
Practice Address - Country:US
Practice Address - Phone:270-798-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2022-08-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant