MEDICARE: DENVER SALLEE III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	052297	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205876117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENVER SALLEE III M.D.

Provider Business Mailing Address
First Line	:	2970 BRANDYWINE RD STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-5521
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Provider Business Practice Location Address
First Line	:	2174 N DRUID HILLS RD NE STE 630
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3102
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/30/2026

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