Healthcare Provider Details

I. General information

NPI: 1467236869
Provider Name (Legal Business Name): PINNACLE FERTILITY CARE ATLANTA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 PEACHTREE ST NE UNIT 220
ATLANTA GA
30309-1895
US

IV. Provider business mailing address

6720 N SCOTTSDALE RD STE 160
SCOTTSDALE AZ
85253-4421
US

V. Phone/Fax

Practice location:
  • Phone: 470-592-5519
  • Fax:
Mailing address:
  • Phone: 480-321-6118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: TARA SELLERS
Title or Position: DIRECTOR RCM
Credential:
Phone: 480-321-6110