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Organization
PEACHTREE ORTHOPAEDIC CLINIC, P.A.
Active
Organization
PEACHTREE ORTHOPAEDIC CLINIC, P.A.
Active
Other names
Peachtree Orthopaedic Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GREG COOPER (MANAGING PARTNER)
(219) 365-6560
Entity
Organization
Contact information
Practice address
1901 PHOENIX BLVD, SUITE 120, COLLEGE PARK, GA 30349-5588
(404) 355-6548
(770) 996-7299
Mailing address
1901 PHOENIX BLVD, SUITE 120, COLLEGE PARK, GA 30349-5588
(404) 355-6548
(770) 996-7299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/25/2006
Last updated
03/17/2008
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