# PAUL E PEACH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154419364
- **Authorized official:** RUTH SPELL (OFFICE MANAGER)
- **Authorized official phone:** (229) 446-8960

## Contact information

- **Practice address:** 810 13TH AVE STE 105, ALBANY, GA 31701-1333
- **Practice address phone:** (229) 446-8960
- **Practice address fax:** (229) 439-8861
- **Mailing address:** 810 13TH AVE STE 105, ALBANY, GA 31701-1333
- **Mailing address phone:** (229) 446-8960
- **Mailing address fax:** (229) 439-8861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 028623 | GA | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020