Organization
PEDIATRIC NEUROSURGERY ASSOCIATES AT CHILDREN'S, LLC
Active
Organization
PEDIATRIC NEUROSURGERY ASSOCIATES AT CHILDREN'S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FOWLER (CHIEF FINANCIAL OFFICER)
(404) 785-5437
Entity
Organization
Contact information
Practice address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 255-6509
(404) 255-9802
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 785-7876
(404) 785-7932
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
10/17/2025
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