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Organization
AMBER PEACH LLC
Active
Organization
AMBER PEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE RODRIGUEZ (CREDENTIALING SPECIALIST)
(281) 547-0706
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW SUITE 2200, ATLANTA, GA 30303
(281) 547-0706
Mailing address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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