# PEACE HEALTH FAMILY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1841404589
- **Authorized official:** KAREN SCOTT (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 907-8400

## Contact information

- **Practice address:** 653 ROBERTS DR, SUTIE A, RIVERDALE, GA 30274-2959
- **Practice address phone:** (770) 907-8400
- **Practice address fax:** (770) 907-8430
- **Mailing address:** 653 ROBERTS DR, RIVERDALE, GA 30274-2959
- **Mailing address phone:** (770) 907-8400
- **Mailing address fax:** (770) 907-8430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 05/15/2008