Organization
PEACHTREE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNNISA FAIYAZ M.D., (PHYSCIAN)
(770) 487-7807
Entity
Organization
Contact information
Practice address
2579 HWY 54, PEACHTREE CITY, GA 30269
(770) 487-7807
Mailing address
2579 HWY 54, PEACHTREE CITY, GA 30269
(770) 487-7807
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
022087
GA
Other
Enumeration date
03/26/2007
Last updated
01/24/2008
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