Provider Demographics
NPI:1740947282
Name:DAVIS, PAIGE (CD)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CRIMSON ROSE DR APT 12
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-4530
Mailing Address - Country:US
Mailing Address - Phone:256-714-3753
Mailing Address - Fax:
Practice Address - Street 1:116 CRIMSON ROSE DR APT 12
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35756-4530
Practice Address - Country:US
Practice Address - Phone:256-714-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14306374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula