Organization
PEACHTREE ORTHOPAEDIC CLINIC, PA
Active
Organization
PEACHTREE ORTHOPAEDIC CLINIC, PA
Active
Other names
Peachtree Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
TOLAN EDWARD MITCHELL (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
142 PRESTIGE LN STE 400, DAWSONVILLE, GA 30534-6253
(404) 355-0743
(404) 355-2136
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
02/14/2024
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