Organization
PEACHTREE ORTHOPAEDIC SURGERY CENTER-NORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLAN E. MITCHELL (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
2860 RONALD REAGAN BLVD., STE 100, CUMMING, GA 30041
(404) 425-1500
Mailing address
2860 RONALD REAGAN BLVD., STE 100, CUMMING, GA 30041
(404) 425-1500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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