# PEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE

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

## Provider details

- **NPI number:** 1942668363
- **Authorized official:** TOLAN E. MITCHELL (CFO)
- **Authorized official phone:** (404) 355-0743

## Contact information

- **Practice address:** 1901 PHOENIX BLVD, SUITE 205, COLLEGE PARK, GA 30349-5063
- **Practice address phone:** (404) 425-1212
- **Practice address fax:** (404) 425-1214
- **Mailing address:** 2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2016
- **Last updated:** 07/15/2016