Organization
PEACHTREE SURGICAL ASSISTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIRK (CHIEF EXECUTIVE OFFICER)
(832) 804-8703
Entity
Organization
Contact information
Practice address
59 ANDERSON AVE APT 127, CANTON, GA 30114-2330
(855) 816-7112
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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