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Organization

CHOA MULTISPECIALTY, 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) 785-6000
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 785-7928
(404) 785-7932

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
208000000X
Pediatrics Physician
Primary
2080P0201X
Pediatric Allergy/Immunology Physician
2080P0205X
Pediatric Endocrinology Physician
2080P0206X
Pediatric Gastroenterology Physician
2080P0208X
Pediatric Infectious Diseases Physician
2080P0210X
Pediatric Nephrology Physician
2080P0214X
Pediatric Pulmonology Physician
2080P0216X
Pediatric Rheumatology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
11/15/2012
Last updated
10/17/2025
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