Most Relevant Information
Provider Data
| NPI Number: | 1003268533 |
| Provider Name: | IVIE PAGE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2016 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
1518 AIRPORT RD
HINESVILLE
GA
313139439
Practice Location Phone/Fax
| Phone: | 9125595536 |
| Fax: | 6143883712 |
Provider Mailing Location
1518 AIRPORT RD
HINESVILLE
GA
313139439
Provider Mailing Phone/Fax
| Phone: | 9125595536 |
| Fax: | 6143883712 |