# PEACHTREE VASCULAR SPECIALISTS, P.C.

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

## Provider details

- **NPI number:** 1366595068
- **Authorized official:** DR. DANIEL T. MCDEVITT M.D. (PRESIDENT)
- **Authorized official phone:** (770) 996-9945

## Contact information

- **Practice address:** 2817 REILLY ST, FORT BRAGG, NC 28310-6118
- **Practice address phone:** (910) 907-1035
- **Practice address fax:** (910) 907-9468
- **Mailing address:** 1035 SOUTHCREST DR, SUITE 250, STOCKBRIDGE, GA 30281-6118
- **Mailing address phone:** (770) 996-9945
- **Mailing address fax:** (770) 996-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 04/14/2020