Organization
PEACHTREE ORTHOPAEDIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOLAN E. MITCHELL (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
2860 RONALD REAGAN BLVD., STE 300, CUMMING, GA 30041-7623
(404) 355-0743
(855) 283-8851
Mailing address
2860 RONALD REAGAN BLVD., STE 300, CUMMING, GA 30041-7623
(404) 355-0743
(855) 283-8851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
08/10/2021
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