Provider Demographics
NPI:1790656726
Name:DEMERY, PAGE
Entity type:Individual
Prefix:
First Name:PAGE
Middle Name:
Last Name:DEMERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 KALLARAMO RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1586
Mailing Address - Country:US
Mailing Address - Phone:803-659-1014
Mailing Address - Fax:
Practice Address - Street 1:1686 KALLARAMO RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1586
Practice Address - Country:US
Practice Address - Phone:803-659-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula