# PEACHTREE CARDIOVASCULAR & THORACIC SURGEONS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639484132
- **Authorized official:** MRS. SHERRY ROGERS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (404) 252-6104

## Contact information

- **Practice address:** 5665 PEACHTREE DUNWOODY RD, SUITE 200, ATLANTA, GA 30342
- **Practice address phone:** (404) 252-6104
- **Mailing address:** 5665 PEACHTREE DUNWOODY RD, SUITE 200, ATLANTA, GA 30342
- **Mailing address phone:** (404) 252-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | RN094494NP | GA | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 08/10/2010