# AMBER PEACH LLC

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

## Provider details

- **NPI number:** 1841704707
- **Authorized official:** ANGIE RODRIGUEZ (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (281) 547-0706

## Contact information

- **Practice address:** 260 PEACHTREE ST NW SUITE 2200, ATLANTA, GA 30303
- **Practice address phone:** (281) 547-0706
- **Mailing address:** 260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2017
- **Last updated:** 11/29/2017
