Most Relevant Information
Provider Data
| NPI Number: | 1003678376 |
| Provider Name: | PAIGE NICOLE LAVERICK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | 5183 |
Most Important Dates
| Enumeration Date: | 01/23/2024 |
| Last Updated: | 02/20/2024 |
Provider Practice Location
171 ASHLEY AVE
CHARLESTON
SC
294250100
Practice Location Phone/Fax
| Phone: | 8437921414 |
| Fax: |
Provider Mailing Location
PO BOX 751461
CHARLOTTE
NC
282751461
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |