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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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