Organization
PEACHTREE PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN S. BANKS DPM (PRESIDENT)
(770) 384-0284
Entity
Organization
Contact information
Practice address
2193 NORTHLAKE PKWY, SUITE 114, TUCKER, GA 30084-4116
(770) 938-5974
(770) 939-7393
Mailing address
300 VILLAGE GREEN CIR SE, SUITE 200, SMYRNA, GA 30080-3476
(770) 384-0284
(770) 432-7638
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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