# PEACHTREE SPINE & PAIN PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEACHTREE SPINE & PAIN PHYSICIANS, INC
- **Other names:** Peachtree Spine Physicians, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831407535
- **Legal business name:** PEACHTREE SPINE & PAIN PHYSICIANS, INC
- **Authorized official:** DR. JEFFREY S GROSSMAN MD (PRESIDENT)
- **Authorized official phone:** (404) 843-3323

## Contact information

- **Practice address:** 4705 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047-3667
- **Practice address phone:** (404) 843-3323
- **Practice address fax:** (404) 574-5944
- **Mailing address:** 5555 PEACHTREE DUNWOODY RD NE STE 201, ATLANTA, GA 30342-1711
- **Mailing address phone:** (404) 843-3323
- **Mailing address fax:** (404) 574-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 046109 | GA | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010