# PEACHTREE PEDIATRICS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437319951
- **Authorized official:** MRS. MARIA PEREZ (PRACTICE MANAGER)
- **Authorized official phone:** (770) 487-3330

## Contact information

- **Practice address:** 12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
- **Practice address phone:** (770) 487-3330
- **Practice address fax:** (770) 487-7736
- **Mailing address:** 12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
- **Mailing address phone:** (770) 487-3330
- **Mailing address fax:** (770) 487-7736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 02/14/2013