Healthcare Provider Details

I. General information

NPI: 1295669372
Provider Name (Legal Business Name): MARGARET ANNE SWEEDEN CAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE
ATLANTA GA
30308-2212
US

IV. Provider business mailing address

2542 WARWICK CIR NE
ATLANTA GA
30345-1632
US

V. Phone/Fax

Practice location:
  • Phone: 770-910-3248
  • Fax:
Mailing address:
  • Phone: 770-910-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: