Provider Demographics
NPI:1164608014
Name:PAGE, ANDREW J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:PAGE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 102321
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2321
Mailing Address - Country:US
Mailing Address - Phone:770-801-2500
Mailing Address - Fax:770-803-2121
Practice Address - Street 1:1968 PEACHTREE RD NW
Practice Address - Street 2:BUILDING 77, 5TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1281
Practice Address - Country:US
Practice Address - Phone:404-605-4600
Practice Address - Fax:404-367-4447
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2015-08-17
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Provider Licenses
StateLicense IDTaxonomies
GA061136208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery