Organization
PEACHSTREET IMMEDIATE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIEM NGUYEN MD (MEDICAL DIRECTOR)
(678) 398-5440
Entity
Organization
Contact information
Practice address
4426 AUSTELL RD, AUSTELL, GA 30106-1844
(678) 398-5440
(678) 398-5442
Mailing address
4426 AUSTELL RD, AUSTELL, GA 30106-1844
(678) 398-5440
(678) 398-5442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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