# PEACHTREE SPINE & PAIN PHYSICIANS

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

## Provider details

- **NPI number:** 1326236894
- **Authorized official:** MR. DESTRY SETSER (CEO)
- **Authorized official phone:** (805) 375-0800

## Contact information

- **Practice address:** 5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
- **Practice address phone:** (770) 640-2204
- **Mailing address:** 3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | BG7320928 | GA | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 09/17/2008