Provider Demographics
NPI:1013906676
Name:PAGE, PATRICIA ZARTMAN (MS, CGC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ZARTMAN
Last Name:PAGE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1573 SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6123
Mailing Address - Country:US
Mailing Address - Phone:404-636-0665
Mailing Address - Fax:404-778-8564
Practice Address - Street 1:2165 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5307
Practice Address - Country:US
Practice Address - Phone:404-778-8513
Practice Address - Fax:404-778-8564
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS