Healthcare Provider Details

I. General information

NPI: 1104973064
Provider Name (Legal Business Name): ATLANTA PERINATAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE STREET, NE SUITE 1275
ATLANTA GA
30308
US

IV. Provider business mailing address

550 PEACHTREE STREET, NE SUITE 1275
ATLANTA GA
30308
US

V. Phone/Fax

Practice location:
  • Phone: 404-872-3121
  • Fax: 404-872-3119
Mailing address:
  • Phone: 404-872-3121
  • Fax: 404-872-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CARRIE CULVER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 404-872-3121