# PEACHTREE SPINE & PAIN PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peachtree Spine Physicians, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700899754
- **Authorized official:** DR. JEFFREY S GROSSMAN M.D. (PRESIDENT)
- **Authorized official phone:** (404) 843-3323

## Contact information

- **Practice address:** 5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
- **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 |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/25/2022