# PEACHTREE SPINE & PAIN PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEACHTREE SPINE & PAIN PHYSICIANS, INC
- **Other names:** Peachtree Spine Physicians, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326355082
- **Legal business name:** PEACHTREE SPINE & PAIN PHYSICIANS, INC
- **Authorized official:** DR. JEFFREY GROSSMAN MD (OWNER)
- **Authorized official phone:** (404) 843-3323

## Contact information

- **Practice address:** 3775 N DRUID HILLS RD, DECATUR, GA 30033-3729
- **Practice address phone:** (404) 843-3323
- **Practice address fax:** (404) 574-5944
- **Mailing address:** 5555 PEACHTREE DUNWOODY RD STE G65, ATLANTA, GA 30342-1710
- **Mailing address phone:** (404) 843-3323
- **Mailing address fax:** (404) 574-5944

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 10/29/2021