Organization
PEACHTREE SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA BADIE (BILLING)
(770) 876-6964
Entity
Organization
Contact information
Practice address
1401 PEACHTREE ST NE STE 160, ATLANTA, GA 30309-3000
(404) 475-0386
(404) 475-0443
Mailing address
1401 PEACHTREE ST NE STE 160, ATLANTA, GA 30309-3000
(404) 475-0386
(404) 475-0443
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CHIR005228
GA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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