Johnson, Paige Wilbanks
Johnson, Paige Wilbanks is an individual health care provider with primary practice located at 104 Saluda Pointe Dr , Lexington SC 29072-7295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Paige Wilbanks can be contacted via phone (803) 296-7846.Contact Information
Primary practice address
104 Saluda Pointe Dr
Lexington SC 29072-7295
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4925 | South Carolina |
Profile Details
| NPI number | 1659067809 |
|---|---|
| LBN Legal business name | Johnson, Paige Wilbanks |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2023 |
| Last updated | Dec 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659067809 | NPPES |
| South Carolina | MEDICAID | 6366PA |
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