Organization
PEACHTREE SPINE & PAIN PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESTRY SETSER (CEO)
(805) 375-0800
Entity
Organization
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(770) 640-2204
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
BG7320928
GA
Other
Enumeration date
10/10/2007
Last updated
09/17/2008
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