Page Family Practice, Inc.
Organization Active NPI Primary Care Clinic/Center · Chattanooga, TN
NPI 1639360332 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1639360332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 33861 (TN)
- Legal business name
- PAGE FAMILY PRACTICE, INC.
- Practice address
- 4802 14TH Ave
Chattanooga, TN 37407-3414 - Phone
- (423) 867-7848
- Fax
- (423) 867-7204
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Cari Beth Page, M.D.
- Title
- President
- Phone
- (423) 867-7848
Practitioners 6
-
Cari Beth Page, MD
-
Philip A Bannor, MD
-
Angela C. Mejias, NP
-
Kay Sherman, FNP
National Provider Directory
Locations
4802 14th Ave
Chattanooga, TN 37407
Phone (423) 867-7848
2339 McCallie Ave
Ste 411
Chattanooga, TN 37404
Phone (423) 648-4995
520 E 12th St
South Pittsburg, TN 37380
Phone (423) 837-7144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 33861 | TN | Yes |
Addresses
Primary practice location
4802 14TH Ave
Chattanooga, TN 37407-3414
Mailing address
4802 14TH Ave
Chattanooga, TN 37407-3414
Phone (423) 867-7848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3731521 | Medicaid | TN | |
| 4110803 | Other | TN | BCBS |
Other providers in Chattanooga, TN
- PA Funding LLC
- Pace Health Services, Inc.
- Pace Health Services, Inc.
- Hillary Pace
- Tony Padalino
- Cristal Bell Page
- Eliazabeth Ann Page
- Meredith Page
- Henry Ki Paik
- Mackenzie Louise Pairitz
All providers in Chattanooga, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.