Organization
PEACHTREE SPINE & PAIN PHYSICIANS, INC
Active
Parent organization
PEACHTREE SPINE & PAIN PHYSICIANS, INC
Other names
Peachtree Spine Physicians, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACHTREE SPINE & PAIN PHYSICIANS, INC
Authorized official
DR. JEFFREY S GROSSMAN MD (PRESIDENT)
(404) 843-3323
Entity
Organization
Contact information
Practice address
771 VIRGINIA AVE, HAPEVILLE, GA 30354-1911
(404) 843-3323
(404) 574-5944
Mailing address
5555 PEACHTREE DUNWOODY RD NE, STE 201, ATLANTA, GA 30342-1703
(404) 843-3332
(404) 574-5944
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
046109
GA
Other
Enumeration date
09/27/2010
Last updated
11/11/2010
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