Organization
PEACHTREE ORTHOAPEDIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLAN E MITCHELL (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
1901 PHOENIX BLVD, STE 200-MOD C, COLLEGE PARK, GA 30349-5063
(404) 355-0743
Mailing address
1901 PHOENIX BLVD, STE 200-MOD C, COLLEGE PARK, GA 30349-5063
(404) 355-0743
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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