CHOA HOSPITAL BASED, LLC

BROOKHAVEN, GA
NPI1457695488
Entity TypeOrganization
Authorized ContactRUTH FOWLER
Chief Financial Officer
404-785-5437
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies2085P0229X Radiology, Pediatric Radiology
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
363LP0200X Nurse Practitioner, Pediatrics
207ZP0213X Pathology, Pediatric Pathology
207LP3000X Anesthesiology, Pediatric Anesthesiology
367H00000X Anesthesiologist Assistant
363LN0000X Nurse Practitioner, Neonatal
Enumeration Date2012-11-15
Last Update Date2025-10-17
Business Address
CHOA HOSPITAL BASED, LLC
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-6000
Mailing Address
CHOA HOSPITAL BASED, LLC
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-7876