Choa Hospital Based, LLC
NPI #1457695488 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1457695488
- Entity Type
- Organization
- Organization Name
- Choa Hospital Based, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Oct 17, 2025
Practice Location
- Address
- 1575 NORTHEAST EXPY NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-2401
- Phone
- (404) 785-6000
Authorized Official
- Name
- RUTH FOWLER
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (404) 785-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Pediatric Radiology — Pediatric Radiology |
| Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine |
| Nurse Practitioner - Pediatrics — Pediatrics |
| Pathology - Pediatric Pathology — Pediatric Pathology |
| Anesthesiology - Pediatric Anesthesiology — Pediatric Anesthesiology |
| Anesthesiologist Assistant |
| Nurse Practitioner - Neonatal — Neonatal |
| Pediatrics |
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