Organization
CHILDREN'S SEDATION SERVICES, 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
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/22/2007
Last updated
10/17/2025
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