# PEACHTREE SURGICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1487950275
- **Authorized official:** MR. JOHN WALKER CSA, CFA (OWNER)
- **Authorized official phone:** (678) 691-6529

## Contact information

- **Practice address:** 7742 SPALDING DR, STE 115, NORCROSS, GA 30092-4207
- **Practice address phone:** (678) 691-6529
- **Practice address fax:** (770) 840-7464
- **Mailing address:** 7742 SPALDING DR, STE 115, NORCROSS, GA 30092-4207
- **Mailing address phone:** (678) 691-6529
- **Mailing address fax:** (770) 840-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | 238.000137 | IL | — |
| 246ZS0410X | Surgical Technologist | F01331 | GA | — |
| 246ZS0410X | Surgical Technologist | — | NULL | — |
| 246ZS0410X | Surgical Technologist | — | — | — |
| 363AS0400X | Surgical Physician Assistant | F01331 | GA | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 03/24/2016