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Organization

PEACHTREE PHYSICAL MEDICINE GROUP

Active
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Organization

PEACHTREE PHYSICAL MEDICINE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WAX (CEO)
(770) 454-8300
Entity
Organization

Contact information

Practice address
1140 HAMMOND DR NE, SUITE 110, ATLANTA, GA 30328-5338
(770) 454-8300
(770) 986-9962
Mailing address
1140 HAMMOND DR NE, SUITE 110, ATLANTA, GA 30328-5338
(770) 454-8300
(770) 986-9962

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—

Other

Enumeration date
11/08/2011
Last updated
11/08/2011
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