Organization
PEACHTREE ORTHOPAEDIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARANYA CHIARAVALLOTI (DIRECTOR OF REVENUE SERVICES)
(404) 350-2447
Entity
Organization
Contact information
Practice address
1901 PHOENIX BLVD, SUITE200-MOD D, COLLEGE PARK, GA 30349-5063
(404) 355-0743
(404) 355-2136
Mailing address
1901 PHOENIX BLVD STE 200- MOD D, COLLEGE PARK, GA 30349-5062
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
10/21/2019
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