Organization
PEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON C WALKER MD FACS (PRESIDENT SURGEON)
(770) 487-3272
Entity
Organization
Contact information
Practice address
64 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 487-3272
(770) 632-7867
Mailing address
PO BOX 2530, PEACHTREE CITY, GA 30269-0530
(770) 487-3272
(770) 632-7867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
024876
GA
208D00000X
General Practice Physician
024876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110139118
OTHER
GA
01
—
1290417
UHC
GA
01
—
45631
UHC
GA
01
—
52446409
BCBS OF GA
GA
01
—
52446409 02
BCBS
GA
01
—
52672999
BCBS FED PRG
GA
01
—
GRP191
MEDICARE GRP
GA
Enumeration date
05/02/2007
Last updated
02/01/2015
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