Provider Demographics
NPI:1780497198
Name:CHILDREN'S HEALTHCARE OF ATLANTA, INC
Entity type:Organization
Organization Name:CHILDREN'S HEALTHCARE OF ATLANTA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,CRNA,DNP
Authorized Official - Phone:706-593-6475
Mailing Address - Street 1:305 VICKERY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4693
Mailing Address - Country:US
Mailing Address - Phone:706-593-6475
Mailing Address - Fax:
Practice Address - Street 1:2220 N DRUID HILLS RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3117
Practice Address - Country:US
Practice Address - Phone:404-785-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty