Healthcare Provider Details

I. General information

NPI: 1013228238
Provider Name (Legal Business Name): SARAH BROOKS RODGERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FY RD NE
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

3300 BUCKEYE RD STE 178
ATLANTA GA
30341-4232
US

V. Phone/Fax

Practice location:
  • Phone: 770-458-6101
  • Fax:
Mailing address:
  • Phone: 504-220-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number75947
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberLL32893
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: