Organization
PEACHTREE SURGICAL & BARIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KIRK (ADMINISTRATIVE DIRECTOR)
(678) 553-3166
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, SUITE 224, ATLANTA, GA 30312-1200
(404) 881-8020
Mailing address
315 BOULEVARD NE, SUITE 224, ATLANTA, GA 30312-1200
(404) 881-8020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056640
GA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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