CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC

BROOKHAVEN, GA
NPI1558727289
Entity TypeOrganization
Authorized ContactRUTH FOWLER
Chief Financial Officer
404-785-5437
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Additional Taxonomies2086S0120X Surgery, Pediatric Surgery
Enumeration Date2016-01-11
Last Update Date2025-10-17
Business Address
CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-5437
Mailing Address
CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: